Structure of chronic inflammatory kidney diseases in workers of oil refineries

We determined the prevalence of chronic inflammatory kidney diseases by a continuous staged examination of 8264 workers and employees of oil refineries: 4051 (49.0%) women and 4213 (51.0%) men aged 20-60 years. At the first stage we conducted a mass cumulative examination of the workers using a screening test for proteinuria, blood pressure measurement, and a questionnaire. At the second stage, persons with suspected kidney disease were examined in an outpatient clinic - Nechiporenko urinalysis was performed, the degree of bacteriuria was determined, and an examination with the history was made. Patients were consulted by specialists (gynecologist, urologist, otorhinolaryngologist, dentist, oculist). The third stage was an in-depth examination of the identified patients in a specialized municipal nephrological department in order to establish the diagnosis of nephropathy. The latter included a detailed interview with occupational history, detailed clinical examination, isotopic renography, and, if indicated, excretory urography.