Seasonal Variances in General Urine Examination Findings among Al-Yarmouk Teaching Hospital Patients

Abstract

Background: Urinalysis is a common test done for several reasons; for instance, in UTI looking for, hematuria or pseudo-hematuria, pyuria, crystalluria and also looking for different microorganisms (etc...), many laboratories perform either a regular test light microscopy, or examine varying dilutions of urine sediment and fields of view with or without the use of stains or polarization, while other laboratories used analysis of urine using automated system. As being a human; the biological sex(female or male) and broadly influences diverse immune phenotypes, including immune responses to diseases at mucosal surfaces, all contribute to how an organism will respond to diseases of the urinary tract, on the other hand, a close relationship between four seasons and the incidence of UTI has been detected in various areas of the world, where the seasons alternate in a year, and the temperature fluctuates widely among these seasons.

Methods: present study was conducted on midstream sample was collected for acquiring accurate results from (68899) individuals (40800 females and 28099 males), these subjects were clinically suspected to have UTI, who were referred to the Department of Teaching Laboratories in AL-Yarmouk Teaching Hospital at Baghdad / Iraq, between January 2020 and December 2023, which examined by; Urilyzer 500 PRO (Analyticon) with Urine strips (dipstick) and Optical Microscope BA 210 (Motic).

Results: A total of 68899 urine specimens were tested, of which 28099 male (40.8%) and 40800 female (59.2%) with the highest percentage of urinalysis in 2022 (33.2%), furthermore, the higher percentage of urinalysis parameters was scored in 2021 as follows;  pus cells 9012 (49.3%), red blood corpuscles 5284 (48.9%) and crystalluria 3956 (44.2%) with the most common type of crystal was amorphous urate 5032 (56.2%), while highest percentages of microorganisms 1050 (40.3%) in year 2022 , and Bacteria was exhibited the highest percentages 2036 (78.1%). Current study recorded significantly differences between males and females in all urine parameters which was higher percentage in female than male and in the Seasons of (Summer and Autumn) , during the four years of this study.

Conclusion: This study registered more accurate diagnostic results of UTI according to the urinary parameters  in the microscopic routine urinalysis(centrifugation at 300xg at 5 min) when compared to machines (Urilyzer 500 PRO test/Urine strips) which frequently miss that , in addition,  hot season in Iraq could affect to increase the seasonally variable incidence of UTI , as well,  increased percentages and frequency of urinary parameters which observed in 2021-2022 out of four study years may indicates,  high likelihood side effects of Covid-19 pandemic disease  in study persons involved.