Urine sediment crystals in Bitola, North Macedonia: results from 3200 urines made with LabUMat 2 & Urised 3 Pro
[eng] Introduction: Urine sediment testing is a diagnostic medicine that remains a long-standing practice in clinical laboratories. Urine analysis, which is an important test in clinical medicine, is used in screening, diagnosing and monitoring diseases of the urinary system, and d...
| Autores: | , , |
|---|---|
| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2025 |
| País: | España |
| Institución: | Universidad de las Islas Baleares |
| Repositorio: | Biblioteca Digital de les Illes Balears |
| OAI Identifier: | medicinaBalear:AJHS_Medicina_Balear_2025v40n2p027 |
| Acceso en línea: | http://ibdigital.uib.es/greenstone/sites/oai-site/collect/medicinaBalear/index/assoc/AJHS_Med/icina_Ba/lear_202/5v40n2p0/27.dir/AJHS_Medicina_Balear_2025v40n2p027.pdf http://ibdigital.uib.es/greenstone/library/collection/medicinaBalear/document/AJHS_Medicina_Balear_2025v40n2p027 |
| Access Level: | acceso abierto |
| Palabra clave: | Urine--Analysis Health Sciences Medicine |
| Sumario: | [eng] Introduction: Urine sediment testing is a diagnostic medicine that remains a long-standing practice in clinical laboratories. Urine analysis, which is an important test in clinical medicine, is used in screening, diagnosing and monitoring diseases of the urinary system, and diseases that are detected through the urinary system. We use the performance of a new model of UriSed (also sediMAX) automated microscope called UriSed 3 PRO. Thus, this paper presents a case of interest for clinical laboratory practice, as it demonstrates the utility of urine sediment examination as a diagnostic tool in the evaluation kidney disease. Therefore, we summarized the data from 3200 urinalysis and our aim was to evaluate the distribution of urinary crystal components and different crystal forms according to the age and gender of the patients. Methods: The study was performed using 3200 urine samples collected into the clean tubes without preservatives, which have been obtained from the patients applied to Hospital for routine visit. The patients left the urine samples and we pipette 10 mL into test tubes. The samples were analyzed every day in small batches for six months in 2023.The urine sample were analyzed in an hour at the latest. Results: Of the 3200 urines analyzed, 2000 females and 1200 males. 2079 of them were free of crystals and 1121 urines were with crystals and were included in the analysis. 67% were mostly calcium oxalate dihydrate crystals, followed by calcium oxalate monohydrate 22%, followed by 11% triple phosphate crystals and 0.01% uric acid crystals. The majority of crystals were detected in males (37%) versus females (33%). Calcium oxalate dihydrate crystals (26% vs.22%) was the most common major component in both men and women, followed by crystals of calcium oxalate monohydrate (8% vs.7%). Conclusion: The most abundant crystals in the urine in our study were found to be calcium oxalate crystals, followed by tripel phosphate and uric acid. The highest incidence of crystals is in patients aged 61 to 70 years. The male gender is more affected compared to the female gender. The distinction between different crystal forms can provide clues to the activity and mechanisms of the lithogenic process. Knowledge of the mechanisms of crystal and stone formation is necessary in order to provide appropriate individualized treatment to each patient and to prevent their recurrence. |
|---|