When asymptomatic microhaematuria is detected in a random urine sample, biohumoral or instrumental exams are not necessary.
The incidence of isolated microhaematuria in random urine testing is about 8% in children of 3 years of age; this percentage falls to 3-4% in schoolchildren. Nevertheless, in both of these paediatric age groups, the incidence of microhaematuria at subsequent...
The indiscriminate use of albumin in children with a first episode of nephrotic syndrome is not recommended.
In children presenting with a first episode of nephrotic syndrome, albumin infusions (followed by intravenous boluses of furosemide) should be exclusively limited to hypovolemic patients. While in these children albumin infusions can increase intravascular volume,...
In the case of low-grade or asymptomatic proteinuria, it is not necessary to perform blood tests or complex instrumental exams. In these cases, medical history, physical exam and urine tests (two separate tests performed at least a week apart) are sufficient. The appropriate diagnostic approach for proteinuria should be followed, if proteinuria persists.
In paediatric clinical practice, the occasional finding of low-grade proteinuria is frequent, though it is not always an indication of kidney damage or disease. However, the definition of a more appropriate diagnostic approach is useful both for the timely detection...
Urine culture should not be carried out either routinely or in the absence of the typical symptoms of a urinary tract infection; bag urine collection should be avoided
Routine urine culture (once a month) is often performed as part of the follow-up of children with congenital nephro-urological malformations or as part of the standard screening tests for children in good clinical condition. In these cases, the finding of bacterial...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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