Chapter 30: Use of Urinalysis and Urine Culture in Screening
David Hains, MD, John David Spencer, MD, 2016. "Use of Urinalysis and Urine Culture in Screening", American Academy of Pediatrics Textbook of Pediatric Care, Thomas K. McInerny, MD, FAAP, Henry M. Adam, MD, FAAP, Deborah E. Campbell, MD, FAAP, Thomas G. DeWitt, MD, FAAP, Jane Meschan Foy, MD, FAAP, Deepak M. Kamat, MD, PhD, FAAP, Rebecca Baum, MD, FAAP, Kelly J. Kelleher, MD, MPH, FAAP
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Examination of the urine is a simple and efficient office procedure that may diagnose renal, urinary tract, or systemic disorders. Pediatricians should be comfortable performing and interpreting a urinalysis.
Until 2007, the American Academy of Pediatrics (AAP) recommended that all children undergo a dipstick urinalysis at 5 years of age and during adolescence if sexually active. The AAP no longer recommends that children undergo screening dipstick urinalysis.1 Because multiple large-scale studies of healthy school-aged children have demonstrated the low incidence of chronic kidney disease (CKD) in children,2,3,4 the AAP recommends that a dipstick urinalysis...