haematuria assessment in CKD

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  • when testing for the presence of haematuria, use reagent strips rather than urine microscopy
    • evaluate further if there is a result of 1+ or more
    • do not use urine microscopy to confirm a positive result
  • when there is the need to differentiate persistent invisible haematuria in the absence of proteinuria from transient haematuria, regard two out of three positive reagent strip tests as confirmation of persistent invisible haematuria
  • persistent invisible haematuria, with or without proteinuria, should prompt investigation for urinary tract malignancy in appropriate age groups
  • persistent invisible haematuria in the absence of proteinuria should be followed up annually with repeat testing for haematuria, proteinuria/albuminuria, GFR and blood pressure monitoring as long as the haematuria persists

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Last edited 09/2021 and last reviewed 09/2021

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