Avoid These 5 Pediatric Nephrology Tests

Clinicians should question these 5 pediatric nephrology practices, according to the American Academy of Pediatrics and the American Society of Pediatric Nephrology, the organizations that compiled the list for the Choosing Wisely initiative.

• Do not order routine screening urine analyses in healthy, asymptomatic pediatric patients as part of routine well-child care. Instead, Choosing Wisely recommends limiting screening urine analysis to patients who are at high risk for chronic kidney disease (CKD).

• Do not initiate a workup for hematuria or proteinuria before repeating an abnormal urine dipstick analysis due to the high rate of false positives.

• Avoid ordering follow-up urine cultures after treatment for an uncomplicated urinary tract infection (UTI) in patients who show evidence of clinical resolution of infection.

• Do not initiate an outpatient hypertension work-up in asymptomatic pediatric patients prior to repeating the blood pressure measurement.

• Do not place central lines or peripherally inserted central lines (PICC) in pediatric patients with advanced (Stage 3-5) CKD/end-stage renal disease without consulting with a pediatric nephrologist due to goals to avoid adverse events, preserve long-term vascular access, and avoid unnecessary and costly procedures.

Top Hospital for Urology Treatment in India:

Saroj hospital: The Department of Urology at Saroj Super Speciality Hospital is a super specialized department offering a wide range of services for the management of diseases of male and female urinary tract and reproductive system. Having emerged as a major healthcare provider in the north-west region of Delhi offering high-end Urology procedures, Saroj Super Speciality Hospital takes pride in being one of the best hospitals for Urology treatment in Delhi.

Primus Hospital: We at Primus utilize the highly advanced and sophisticated diagnostic procedures and the latest treatment procedures to treat urology conditions. We deliver comprehensive, multi-disciplinary care for all kinds of urologic disorders, including cancers, kidney stones, incontinence, impotence, prostate problems, bladder issues, and deformities. For Best Urology Treatment Hospital in India visit Primus Hospital.

Nanavati Hospital: Nanavati Super Speciality Hospital has been at the forefront of healthcare for 65 years. Today the 350 bed facility housing 55 speciality departments offers a plethora of services in practically every field of modern medicine and health care. Our well-equipped hospital rooms, state-of-the-art departments and technologically advanced systems are all backed by the expertise and reputation of over 350 consultants, 100 resident doctors, 475 nursing staff and 1500 employees. For Best Doctors in India visit Nanavati Hospital.

Gunam Hospital: There were only a few visionaries who believed that the country was more important than Home and these Eight Medical Directors, pulsated with the mission to ‘‘Serve best for patients’’ founded Gunam Super Speciality Hospital in April‘ 2014, which was inaugurated by Mr.Bhasker Bhat, Managing Director of TITAN and Dr. Devi Shetty, the Chairperson of Narayana Hrudayalaya Hospital, Bengaluru. Ever since the inception, the hospital striving hard to provide quality healthcare service by practising ‘‘Evidence Based Medicine’’.