Abstract
Approximately 60% of school urinary screening programs in Kyushu are carried out at local clinics by doctors without specialized training.Especially in rural areas, almost 70% of the examinations are performed individually at private clinics. In some parts of those areas, urinary screening system has not well established because there are no urinary screening committees, a system for managing the emergency visits to a hospital in case of the critical urine abnormalities, or a standardization of judgment for examination results.
In order to resolve these problems, the Kyushu Council for the In-School Examination created a standard manual and a summation table in 2004.
In Miyazaki prefecture, use of the standard manual and summation table resulted in a significant increase in the third examination rates, and a significant decrease in diagnostic reservation rates.
The standardization of urinary screening system has not been achieved yet in whole Kyusyu area although the unified summation table was introduced 3 years ago. In fact, the prevalence of proteinuria and hematuria varies among prefectures. In addition, the questionnaire survey to school nurses in Kyushu and Okinawa showed that the rates of recognition were low (8.4-13.9%) and that the rates of utilization were also low (29.4-34.9%) in 2006.
We hope the standard manual and summation table will be further recognized and well utilized not only in rural area but also in urban area in Kyusyu, and we expect in the future to establish a large-scale database for epidemiological research on the basis of the unified standard manual.
