Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • News & Views
  • Published:

Acute kidney injury

Clinical value of urine microscopy in acute kidney injury

Nature Reviews Nephrology volume 5, pages 185–186 (2009)Cite this article

Urine microscopy is a time-honored, readily available and commonly used noninvasive test to aid clinicians in discriminating between different forms of acute kidney injury. However, the diagnostic and prognostic importance of assessing urinary sediment is largely unknown.

This is a preview of subscription content, access via your institution

Relevant articles

Open Access articles citing this article.

Access options

Buy this article

  • Purchase on Springer Link
  • Instant access to full article PDF
Buy now

Prices may be subject to local taxes which are calculated during checkout

References

  1. Nash, K., Hafeez, A. & Hou, S. Hospital-acquired renal insufficiency. Am. J. Kidney Dis. 39, 930–936 (2002).

    Article  Google Scholar 

  2. Uchino, S. et al. Acute renal failure in critically ill patients: a multinational, multicenter study. JAMA 294, 813–818 (2005).

    Article  CAS  Google Scholar 

  3. Bagshaw, S. M. & Bellomo, R. Early diagnosis of acute kidney injury. Curr. Opin. Crit. Care 13, 638–644 (2007).

    Article  Google Scholar 

  4. Bellomo, R., Ronco, C., Kellum, J. A., Mehta, R. L. & Palevsky, P. Acute renal failure—definition, outcome measures, animal models, fluid therapy and information technology needs: the Second International Consensus Conference of the Acute Dialysis Quality Initiative (ADQI) Group. Crit. Care 8, R204–R212 (2004).

    Article  Google Scholar 

  5. Perazella, M. A., Coca, S. G., Kanbay, M., Brewster, U. C. & Parikh, C. R. Diagnostic value of urine microscopy for differential diagnosis of acute kidney injury in hospitalized patients. Clin. J. Am. Soc. Nephrol. 3, 1615–1619 (2008).

    Article  Google Scholar 

  6. Espinel, C. H. & Gregory, A. W. Differential diagnosis of acute renal failure. Clin. Nephrol. 13, 73–77 (1980).

    CAS  PubMed  Google Scholar 

  7. Esson, M. L. & Schrier, R. W. Diagnosis and treatment of acute tubular necrosis. Ann. Intern. Med. 137, 744–752 (2002).

    Article  Google Scholar 

  8. Miller, T. R. et al. Urinary diagnostic indices in acute renal failure: a prospective study. Ann. Intern. Med. 89, 47–50 (1978).

    Article  CAS  Google Scholar 

  9. Bagshaw, S. M., Langenberg, C. & Bellomo, R. Urinary biochemistry and microscopy in septic acute renal failure: a systematic review. Am. J. Kidney Dis. 48, 695–705 (2006).

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Division of Critical Care Medicine, University of Alberta Hospital, University of Alberta, Edmonton, Canada

    Sean M. Bagshaw & R. T. Noel Gibney

Authors
  1. Sean M. Bagshaw
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. R. T. Noel Gibney
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Sean M. Bagshaw.

Ethics declarations

Competing interests

The authors declare no competing financial interests.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Bagshaw, S., Gibney, R. Clinical value of urine microscopy in acute kidney injury. Nat Rev Nephrol 5, 185–186 (2009). https://doi.org/10.1038/nrneph.2009.23

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1038/nrneph.2009.23

This article is cited by

Search

Advanced search

Quick links

Nature Briefing

Sign up for the Nature Briefing newsletter — what matters in science, free to your inbox daily.

Get the most important science stories of the day, free in your inbox. Sign up for Nature Briefing