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Pediatría (Asunción)
On-line version ISSN 1683-9803
Abstract
TROCHE, Avelina Victoria; DUARTE, Cynthia and LASCURAIN, Ana. Post-infectious glomerulonephritis in Pediatrics: epidemiological study based on a hospital population. Pediatr. (Asunción) [online]. 2020, vol.47, n.1, pp.17-23. ISSN 1683-9803. https://doi.org/10.31698/ped.47012020004.
Introduction:
Post-infectious glomerulonephritis (PIGN) is a frequent pathology in Pediatrics.
Objective:
describe the epidemiology of PIGN at a Reference hospital.
Materials and Methods:
This was a descriptive and observational study. Patients under 16 years of age diagnosed with post-infectious glomerulonephritis were included. We excluded patients with unknown C3, previous renal disease or secondary nephritic syndrome. Variables: sociodemographic factors, season of the year, type of previous infection, creatinine clearance, dialysis requirement.. Data were analyzed using the SPSS program.
Results:
We enrolled 160 patients, 68.1% of them were male with an M / F ratio of 2.2 to 1. The most affected age group was 6 to 12 years (65%). 60% of the patients came from the rural area, with parents who only a primary-level education and lived in overcrowded conditions. The most frequent clinical form was acute nephritic syndrome (97.5%) and the most prevalent preceding infection was pyoderma (52%). Alteration of renal function was observed in 51.25%, pulmonary edema in 40% and hypertensive encephalopathy in 17%. No patient died.
Conclusion:
PIGN more frequently affects males, children who live in overcrowded conditions and in from families with low socioeconomic status. Outcomes were good, without any mortality.
Keywords : Glomerulonephritis; pediatrics; infection; epidemiology.