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Abstract Kidney diseases develop slowly and the symptoms only appear at a late stage when the patient already has kidney failure and may even need dialysis. In children, chronic kidney disease(CKD) may be the result of congenital, acquired, inherited or metabolic renal disease, and the underlying cause correlates closely with the age of the patient at the time when the CKD is first detected. CKD in children younger than 5 Yr is most commonly a result of congenital abnormalities, while After 5yr of age, acquired diseases, inherited and metabolic disorders predominate. Urine analysis, a simple and inexpensive test, is the cornerstone in the evaluation of the kidney function. Serious renal diseases may be present without any symptoms. Proteinuria as well as hematuria may be the only early signs of renal disease. Also, the presence of detectable nitrites in urine has been used to diagnose urinary tract infection. Urinary tract infection is very common in children with severe consequences on the kidney function leading to chronic kidney disease and hypertension if left untreated. In recent years, a number of urine screening programs have been launched for the early detection of CKD, which has been proved extremely important for reducing the growing burden of CKD in both developed and developing countries . Nowadays dipsticks tests are widely used as the simplest and cheapest method for detecting urinary abnormality. There is evidence that a screening program may open the way for the early management of these diseases , especially where treatment is already established . |