RESEARCH ARTICLE
Nobel Med 2010; 6(1): 61-67
DECREASING THE NEED FOR KIDNEY TRANSPLANTATION THROUGH PROACTIVE MANAGEMENT
Levent B. Kıdak,ABSTRACT
Material and Method: The study has been planned and conducted in 264 (100%) primary care facilities within the boundaries of the city of Izmir for a period of one year. This is a descriptive cross-sectional study. The target group was defined as any children applying to these facilities for vaccination at the 9th and 16th months of life. During the years 2005-2006, the children between 0 to 30 months of age who applied to primary care facilities for vaccination have been assessed for UTIs. The children's urine samples have been tested in terms of presence of leukocytes, nitrites, proteins, blood and glucose parameters using dipsticks, and if one of these parameters were positive, the cases have been taken under further examination. The data have been sent monthly online by healthcare facilities and assessed by frequency analysis.
Results: In total, 16908 (9080 males, 7828 females) children were analyzed. The mean age of the subjects was 15.6±13.4 (0-30) months. In the first assessment in healthcare facilities, 14098 (83.4%) urine samples were normal whereas 2810 (16.6%) urine samples were positive. Further examination was conducted in 1096 positive cases and UTI, vesicoureteral reflux, hematuria and asymptomatic proteinuria have been detected in 543 (49.5%-3.2%) of these cases.
Conclusion: The proactive management approach can be used effectively to prevent UTIs in children that may lead to kidney transplantations. This is an issue where healthcare administrators and policy makers as well as medical caregivers should come up with solutions.
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Pubmed Style
Levent B. Kıdak,. [DECREASING THE NEED FOR KIDNEY TRANSPLANTATION THROUGH PROACTIVE MANAGEMENT]. Nobel Med 2010; 6(1): 61-67, English. -
Web Style
Levent B. Kıdak,. [DECREASING THE NEED FOR KIDNEY TRANSPLANTATION THROUGH PROACTIVE MANAGEMENT]. www.nobelmedicus.com/en/Article.aspx?m=1716 [Access: Mayıs 24, 2021], English. -
AMA (American Medical Association) Style
Levent B. Kıdak,. [DECREASING THE NEED FOR KIDNEY TRANSPLANTATION THROUGH PROACTIVE MANAGEMENT]. Nobel Med 2010; 6(1): 61-67, English. -
Vancouver/ICMJE Style
Levent B. Kıdak,. [DECREASING THE NEED FOR KIDNEY TRANSPLANTATION THROUGH PROACTIVE MANAGEMENT]. Nobel Med (2010); 6(1): 61-67, [cited Mayıs 24, 2021], English. -
Harvard Style
Levent B. Kıdak,. (2010) [DECREASING THE NEED FOR KIDNEY TRANSPLANTATION THROUGH PROACTIVE MANAGEMENT]. Nobel Med, 6(1): 61-67, English.