الفهرس | Only 14 pages are availabe for public view |
Abstract Microscopic hematuria vary from 2 to 10 erythrocytes per high-power field microscopic hematuria can be either an isolated finding accompanied by other kidney abnormalities or part of a systemic condition it also can be transient or persistent (Cohen and Brown, 2003). The study was conducted on 300 living workers were randomly selected from nuclear material authority. Only 264 had complete investigations in this study 182 of them were males (68.9%) and 82 of them were female (31.1%). The majority of workers were 30-50 year old (74.3%). We found that 38.1% of surveyed workers presented with asymptomatic microscopic hematuria and 44.5% of them were isolated microscopic hematuria. In our study 74 (73.2%) worker with positive microscopic hematuria are male&27(26.7) worker are female. There was not significant difference between sex or age and microscopic hematuria. We also observed 22% of hypertensive workers presented with hematuria and 14.9% of diabetic workers had microscopic hematuria. In this work The percentage of positive microscopic hematuria among the surveyed workers was 38.1%,14.8% of them were pus positive and 39.6% of them were crystal positive that may indicate urinary tract infections or stones, 2.9% of them were casts positive and 2.9% of them were protein positive.. Also we observed that 1.6% of screened workers with grade of nephropathy in U/S. 4.3% of workers with microscopic hematuria had grade of nephropathyI-II in U/S, which may support that asymptomatic hematuria may due to kidney pathology in those workers. But we also found 2.0% of surveyed workers with microscopic hematuria had cyst or polycystic kidney in U/S and 18 (18.2%) of surveyed worker with microscopic hematuria had stone and gravels in U/S. We observed in our study very highly significant correlation between stones or/and gravels and hematuria (P≤0.001). We reported a significant difference between mean values of microscopic hematuria in exposed worker to non-exposed workers with (P = 0.006). 48.1% of exposed workers with microscopic hematuria. There was statistically significant difference between male workers who exposed to radiation compared to female workers (50% to18.3%) respectively. There was statistically significant correlation between exposed male workers &present of RBCs, pus in urine examination. While there was statically significant correlation between exposed female workers & cast in urine examination. Although Limitation of small number of our studied population, the high percentage of asymptomatic microscopic hematuria in workers exposed to radiation that we found may need further evaluation for the risk of glomerulopathy and risk of urological malignancy. |