ความชุกของการตรวจพบภาวะเม็ดเลือดขาวในปัสสาวะและการติดเชื้อในทางเดินปัสสาวะของประชากร หมู่ 18 บ้านทุ่งเหียง ตำบลท่ากระดาน อำเภอสนามชัยเขต จังหวัดฉะเชิงเทรา

Abstract

Background: Pyuria is a sign of inflammation in the urinary tract system such as urinary tract infection which leadsto  chronic kidney disease. Objective: To determine the prevalence of pyuria and urinary tract infection of the population in Moo 18 Ban Toong Hiang Tha Kradan Sub-district Sanam Chai Ket District Chacheongsao Province. Study design: Cross-sectional descriptive study. Settings: Tha Kradan Sub-district Sanam Chai Ket Districk Chacheongsao  Province  M aterials and methods: M id-strea urine of 7 24 participants was s creened for pyuriausing  urine dipstick (Combur10 TestÒ  M Roche Diagnostics) and microscopic examination. Repeated testing for pyuria  physical examination urine culture and drug sensitivity were performed when WBC in urine sediment werefound more than 4 cells/HPF. R esults: The prevalence of a preliminary screening of pyuria was 22c ases ( 3.04%). Nineteen  cases were asked to collect new samples for repeated testing only 11 cases (1.52%) were confirmed aspositive without any symptoms. Subsequently the results of urine culture were positive (>105 CFU/mL) in 5 cases 4 cases were positive for Escherichia coli and 1 case was positive for Klebsiella pneumoniae. All of them weresensitive  with Norfloxacin. In addition urine turbidity and positive for leukocyte esterase and nitrite by a urine dipstick showed good correlation with pyuria. The prevalence of hematuria glucosuria proteinuria bilirubinuria was 3.59%,2.76%, 2.34% and 0.83%, respectively. Additionally the prevalence of crystals such as calcium oxalate amorphous urate and triple phosphate were 13.81%, 8.70%, 2.07%, and 0.14%, respectively. Conclusion: In this presentstudy the prevalence of pyuria is low and asymptomatic. However these findings may cause chronic kidney diseaseor severe infection. Self-observation of urine turbidity may be used as a warning sign for additional medical examination.