Skripsi
STUDI PERBANDINGAN PEMERIKSAAN URINALISIS DIPSTIK MANUAL DAN OTOMATIS PADA ANAK DENGAN PENYAKIT GINJAL DAN SALURAN KEMIH DI KEMENKES RS DR. MOHAMMAD HOESIN PALEMBANG
Kidney and urinary tract diseases in children can cause complications such as acute and chronic kidney disease. Proteinuria is an important marker for early detection. Dipstick urinalysis, manual or automated, is widely used for its speed and simplicity, though accuracy may differ. No study has compared these methods at Kemenkes RS Dr. Mohammad Hoesin Palembang. This descriptive comparative study involved 120 children aged 1–18 years undergoing urinalysis. Samples were tested with both manual and automated dipsticks across seven parameters. Data were analyzed descriptively and with Cohen’s Kappa to assess agreement. Most subjects were aged 6–12 years and male, with nephrotic syndrome as the most common diagnosis. Most had yellow, clear urine. Dipstick results showed variable agreement. Proteinuria differed significantly, though overall agreement remained moderate (κ = 0.576). Other parameters showed agreement from minimal to almost perfect: glucose (κ = 0.691, substantial), blood (κ = 0.685, substantial), leukocyte esterase (κ = 0.564, moderate), nitrite (κ = 1.000, almost perfect), urine pH (κ = 0.285, minimal), and specific gravity (κ = 0.645, substantial). Manual and automated dipstick urinalysis show variable agreement across parameters, generally moderate to substantial, suggesting both methods can complement each other in pediatric screening.
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