Pattern of Pediatric Kidney Diseases in a Tertiary Care Center in Northeast India: a 5-year Retrospective Analysis
Journal of Pediatric Nephrology,
Vol. 6 No. 2 (2018),
4 August 2018
Introduction: The pattern of kidney diseases in children may vary from place to place and is not documented in most parts of India including ours. Documenting the spectrum may be important as it can have several uses.
Materials and Methods: This hospital-based retrospective descriptive study was done over a 5-year period.
Results: Out of 8257 admissions, 556 renal admissions occurred in 326 children which accounted for 6.7% of all admissions. The mean age of the children admitted with kidney disease was 9.9±4.9 years with a gender ratio of 1:1.02. The most common diagnosis at discharge was postinfectious glomerulonephritis (n= 103, 31.6%), closely followed by nephrotic syndrome (n=98, 30.1%). Glomerulonephritis other than PIGN comprised 9.8% of the cases (n=32). Other diagnoses in a descending order were urinary tract infection (n=36, 11.0%), chronic kidney disease (n=8.0%), AKI (n=14, 4.2%), congenital anomalies of the kidney and urinary tract (CAKUT) (n=10, 3.1%), calculus (n=5, 1.5%) and others (0.9%).
Conclusions: Postinfectious glomerulonephritis was the most common cause of renal admission in our series. Glomerular diseases constituted three quarters of all renal diseases. The load of tubular disorders was very low.
Keywords: Chronic Kidney disease; Post streptococcal glomerulonephritis; Nephrotic Syndrome; Child.
- Kidney disease
- Post streptococcal glomerulonephritis
- nephrotic syndrome
How to Cite
Lisa M. Satlin. Sharon P. Andreoli. H. William Schnaper. Pediatric Nephrology around the World – North America. In: Avner DE, Harmon WE, Niaudet P, YoshikawaN, Emma F, Goldstein SL Eds: Avners text book of pediatric nephrology. Spinger-Verlag Berlin Heidelberg 2016; p.1955-1959.
Hui-Kim Yap. Bagga A. Man-Chun Chiu. H. William Schnaper. Pediatric Nephrology in Asia. In: Avner DE, Harmon WE, Niaudet P, Yoshikawa N, Emma F, Goldstein SL Eds: Avners text book of pediatric nephrology. Spinger-Verlag Berlin Heidelberg 2016; p.1981-1990.
Garcia-Garcia G, JhaV. Chronic kidney disease in disadvantaged populations. Indian J Nephrol. 2015; 25(2):65-9.
Iyengar AA. Kidneys- Kindergarten to graduation. Indian J Nephrol. 2016; 26(2):77-9.
Bagga A, Sinha A, Gulati A. Protocols in pediatric nephrology. First edition CBS publishers. 2015.
Hogg RJ, Furth S, Lemley KV, Portman R, Schwartz GJ, Coresh J, Balk E, Lau J, Levin A, Kausz AT, Eknoyan G, Levey AS; National Kidney Foundation's Kidney Disease Outcomes Quality Initiative. National Kidney Foundation's Kidney Disease Outcomes Quality Initiative clinical practice guidelines for chronic kidney disease in children and adolescents: evaluation, classification, and stratification. Pediatrics. 2003; 111(6 Pt 1):1416-21.
Bagga A, Bakkaloglu A, Devarajan P, Mehta RL, Kellum JA, Shah SV, Molitoris BA, Ronco C, Warnock DG, Joannidis M, Levin A; Acute Kidney Injury Network.Improving outcomes from acute kidney injury: report of an initiative. Pediatr Nephrol. 2007; 22(10):1655-8. Epub 2007 Jul 31.
Ashraf M1, Kumar V, Bano RA, Wani KA, Ahmed J, Ahmed K.Spectrum of Renal and Urinary Tract Diseases in Kashmiri Children. J Clin Diagn Res. 2016; 10(6):SM01-2.
Abdurrahman MB, Babaoye FA, Aikhionbare HA. Childhood renal disorders in Nigeria.PediatrNephrol. 1990; 4(1):88-93.
Michael IO, Gabriel OE. Pattern of renal diseases in children in midwestern zone of Nigeria.Saudi J Kidney Dis Transpl. 2003; 14(4):539-44.
Bhatta NK, Shrestha P, Budhathoki S, Kalakheti BK, Poudel P, Sinha A, Singh R. Profile of renal diseases in Nepalese children. Kathmandu University Medical Journal. 2008; 6(2): 191-4.
Sadeghi E.Spectrum of paediatric diseases in south Islamic Republic of Iran. Eastern Mediterenian health journal: 103; 519-29.
Yadav SP, Shah GS, Mishra OP, Baral N. Pattern of renal diseases in children: A developing country experience. Saudi J Kidney Dis Transpl. 2016;27(2):371-6.
Ali EM, A Rahman AH, Karrar ZA. Pattern and outcome of renal diseases in hospitalized children in Khartoum State, Sudan. Sudan J Pediatr 2012; 12(2):52-59.
Ladapo TA, Esezobor CI, Lesi FE. Pediatric kidney diseases in an African country: prevalence, spectrum and outcome. Saudi J Kidney Dis Transpl. 2014; 25(5):1110-6.
Srivastava RN. Pediatric renal problems in India.PediatrNephrol. 1987;1(2):238-44.
Gunasekaran K, Krishnamurthy S, Mahadevan S, Harish BN, Kumar AP. Clinical Characteristics and Outcome of Post-Infectious Glomerulonephritis in Children in Southern India: A Prospective Study. Indian J Pediatr. 2015 Oct; 82(10):896-903.
McKinney PA, Feltbower RG, Brocklebank JT, Fitzpatrick MM. Time trends and ethnic patterns of childhood nephrotic syndrome in Yorkshire, UK. Pediatr Nephrol. 2001; 16(12):1040-4.
Saieh-AndonieC. The management of end stage renal disease in underdeveloped Countries: a moral and an economic problem. Pediatr Nephrol. 1990; 4(2):199-201.
Hoy WE, White AV, Dowling A, Sharma SK, Bloomfield H, Tipiloura BT, Swanson CE, Mathews JD, McCredie DA. Post-streptococcal glomerulonephritis is a strong Risk factor for chronic kidney disease in later life. Kidney Int. 2012; 81(10):1026-32.
- Abstract Viewed: 429 times
- PDF Downloaded: 305 times