Haematuria in chronic kidney disease
- Use dipsticks rather than urine microscopy as dipsticks are more sensitive and accurate
- Evaluate further if there is a result of 1+ or more
- Do not use urine microscopy to confirm a positive result. However, urine microscopy may be useful in distinguishing glomerular haematuria from other causes
- Persistent invisible (microscopic) haematuria in the absence of albuminuria can be differentiated from transient haematuria if 2 out of 3 reagent strip test are positive
- Persistent haematuria, with or withouth albuminuria, should prompt investigation for urinary tract malignancy in appropriate age groups.
- Persistent invisible haematuria in the absence of albuminuria should be followed up annually with repeat testing for haematuria, albuminuria, eGFR and blood pressure monitoring as long as the haematuria persists,