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Medicina & Laboratorio

2017, Number 07-08

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Medicina & Laboratorio 2017; 23 (07-08)

Hematuria in the childhood A systematic cualitative review

Paz-Montañez JJ, Mueses-Guerrero Y, Restrepo-Restrepo JM, Ortíz-Martínez RA, Acosta-Aragón MA

Language: Spanish
References: 53
Page: 351-364
PDF size: 544.33 Kb.


ABSTRACT

Introduction: Isolated hematuria in children is a frequent finding in the daily clinical practice of the general physician and pediatrician, being a diagnostic challenge to find out its etiology and management. Objective: To describe the basic guidelines for the diagnosis and management of isolated hematuria in children under 18 years of age by the general physician and the pediatrician. Materials and methods: A systematic bibliographic search was carried out in the databases PubMed, ScienceDirect, LILACS and Embase, using key words from DeCS (Spanish) and MeSH (English) through combinations with the conjunction “AND” or the disjunction “ OR “, of manuscripts such as observational studies, clinical trials, clinical practice guidelines and systematic reviews, published between 1995 and 2017 that described the basic diagnosis and management of hematuria. The quality of the articles was evaluated through the PRISMA, CONSORT and STROBE instruments, as was appropriate. Results: 402 publications were identified, of which 34 met the criteria and 28 were selected to carry out this review. Conclusions: Isolated hematuria is defined by the finding of five erythrocytes per high power field in centrifuged fresh urine or more than five erythrocytes per microliter in fresh non-centrifuged urine Diagnosis and treatment are carried out in steps: a) clinical history, and b) confirmation by high resolution optical microscopy. Differentiating benign hematuria from those requiring paraclinical extension is essential to confirm it earlier, avoid invasive procedures, decrease health expenditure and make predictive follow-up.


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