Sonowal Rimjhim
Department of Pediatrics, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India.
Saudi J Kidney Dis Transpl. 2019 Sep-Oct;30(5):1151-1155. doi: 10.4103/1319-2442.270272.
The pattern of kidney diseases varies in different places due to differences in genetic status, socioeconomic status, access to health care, and presence of background infection. In spite of nephrology as a specialty since 1970s, there are still limited data regarding the spectrum of renal diseases in India. Our study was conducted in a tertiary care institute and referral center in northeast India. It provides insight into profile of renal diseases in hospitalized children. It is a cross-sectional study conducted in a government medical college in Assam. All children who were admitted in this department during one year period were examined for the presence of renal disease on the basis of history, clinical examination, and laboratory investigation. Of total admission, 7.17% of children had renal diseases. Nephrotic syndrome was the most common renal disease followed by glomerulonephritis in this study. Acute post infectious glomerulonephritis was the most common cause of glomerulonephritis. Septicemia was the most common cause of AKI. We have seen that a huge burden of pediatric morbidity is due to renal diseases. Majority of the renal diseases are curable with proper and adequate treatment. A large pool of renal diseases are still due to infective etiology and thus preventable.
由于基因状况、社会经济状况、医疗保健可及性以及背景感染情况的差异,不同地区的肾脏疾病模式各不相同。尽管自20世纪70年代起肾脏病学就已成为一门专业学科,但关于印度肾脏疾病谱的数据仍然有限。我们的研究在印度东北部的一家三级医疗机构和转诊中心进行。该研究深入了解了住院儿童的肾脏疾病概况。这是一项在阿萨姆邦一所政府医学院开展的横断面研究。对该科室在一年期间收治的所有儿童,根据病史、临床检查和实验室检查来排查是否存在肾脏疾病。在所有入院儿童中,7.17%患有肾脏疾病。在本研究中,肾病综合征是最常见的肾脏疾病,其次是肾小球肾炎。急性感染后肾小球肾炎是肾小球肾炎最常见的病因。败血症是急性肾损伤最常见的病因。我们发现,儿科发病的巨大负担归因于肾脏疾病。大多数肾脏疾病通过适当且充分的治疗是可以治愈的。大量的肾脏疾病仍由感染性病因引起,因此是可预防的。