Publication: Prevalence of Renal and Urinary Tract Diseases among Pediatric Cases Admitted in a Tertiary Hospital in Developing Country
Date
2024
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
ABSTRACT
Background
Kidney disease includes diseases of the glomerulus, tubular disorders, and conditions
associated with hematuria or proteinuria. Urinalysis can be a reliable and easy tool
to screen.
Objective
In this study, we aim to study the prevalence of renal and urinary tract diseases
among the pediatric population in a tertiary hospital in Nepal.
Method
A single-center retrospective cross-sectional study was conducted from 2022 to
2023 in the pediatric department. Information was obtained regarding clinical-
epidemiological profile, associated condition, investigations, diagnosis, and duration
of hospital stay, management, and outcome.
Result
The prevalence of renal disease was 5.6%, with urinary tract infection being the most
common diagnosis. Maximum cases presented between one and five years with a
male-to-female ratio of 1.1:1 and 80.9% of the patients had new onset disease. The
mean duration of hospital stay was six days. The mortality rate in renal diseases was
3.2%.
Conclusion
Renal diseases make up a significant portion of pediatric admissions. Renal diseases
contribute to significant morbidity and mortality. A large number of cases of renal
diseases are due to infective etiology hence they are preventable and curable. Renal
disease in children presents with vague symptoms and signs. Routine screening of
renal diseases is needed for early diagnosis and reduction in morbidity and mortality.
KEY WORDS
Kidney diseases, Pediatrics, Urinary tract infection
Description
Gautam S, Gautam P, Chaudhary A, Dahal A, Giri P, Poudel S
Department of Pediatrics
Dhulikhel Hospital, Kathmandu University Hospital
Kathmandu University School of Medical Sciences
Dhulikhel, Kavre, Nepal
Keywords
Kidney diseases, Pediatrics, Urinary tract infection