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A Workshop on Urinalysis and a Survey on Urine Microscopy Among Kidney Centers of Iran Pubmed



Hami M1 ; Shahidi S2 ; Nourimajalan N3 ; Atapour A2 ; Fogazzi GB4
Authors
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Authors Affiliations
  1. 1. Kidney Transplantation Complications Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
  2. 2. Isfahan Kidney Diseases Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
  3. 3. Shahid Sadoughi University of Medical Sciences, Yazd, Iran
  4. 4. Clinical and Research Laboratory on Urinary Sediment, UO di Nefrologia, Fondazione IRCCCS Ca' Granda, Ospedale Maggiore Policlinico, Milano, Italy

Source: Iranian Journal of Kidney Diseases Published:2013


Abstract

Urinalysis is a mandatory diagnostic tool for the evaluation of patients with kidney diseases. A workshop on urinalysis was held for nephrologists in Isfahan, Iran, on October 11-12, 2012. After the presentation of the results of a survey of the nephrology centers of Iran on urine microscopy, the most important aspects of urinalysis were presented and discussed. These included the following: (1) urinalysis by dipstick, which provides results in a few seconds, is simple to use, has a low cost, and is used worldwide for screening purposes, in spite of some limitations; (2) measurement of proteinuria by 24-hour urine collection, which still represents the reference method in spite of limitations due to frequent over or under collection errors; (3) protein-creatinine ratio in a random urine sample, which is recommended by international guidelines as an alternative to the measurement of 24-hour protein excretion; (4) microalbuminuria, which is seen as a marker of systemic endothelial damage; and (5) the urinary sediment, which is underused even among nephrologists in spite of the relevant diagnostic information it can supply in a wide spectrum of kidney diseases.
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