Pattern of Renal Diseases Among Hospitalised Children in Sagamu
DOI:
https://doi.org/10.46881/ajsn.v1i1.14Keywords:
Renal disease, children, acute renal failureAbstract
Renal diseases in children constitute an important cause of morbidity and mortality in children; relevant data is scanty, leading to the lack of adequate planning and policy. This study was conducted to describe the pattern of renal diseases in a population of hospitalised children. These baseline data may help in health policy formulation. It is a descriptive cross -sectional study of all admission into the children’s wards comprising the newborn unit, emergency room and children ward of the hospital, over a five-year period. The total number of admission over the p e r i o d w a s 3 9 3 8 , r e n a l d i s e a s e s c o n s t i t u t e d 2 . 8 % o f a l l a d m i s s i o n s (110/3938). Males were 78 (70.9%) and females were 32 (29.1%) with a sex ratio of 2.4:1. Age range was between 0 and 15 years with a mean of 2.23 + 1.1years. Acute kidney injury was seen in 29.1%, urinary tract infection and nephrotic syndrome was present in 21.8% each. Congenital anomaly of the kidney and urinary tract (CAKUT) was present in 11.9%; out of this, obstructive uropathy accounted for 6.4%. Nephroblastoma was present in 3.6% and male was found to be predominante in these diseases. Acute renal failure is the leading cause of kidney disease among hospitalised children. It occurs due to preventable causes, therefore efforts at early identification and intervention is canvassed for so as to prevent morbidity arising from this condition.
References
Abdurahman, M. B., Babaoye, F.A. & Aikhionbare, H. A. (1990) Childhood renal disorders in Nigeria.
Paediatric Nephrol; 4 1:88-93.
Abou-Chaaban, M., Al-Murbatty, B. & Majid, M. A. (1997). Spectrum of paediatric renal diseases in
Dubai. Saudi J Kidney Dis Transpl; 8: 310-313 Adedoyin, O.T., Adesiyun, O.A., Mark, F., Adeniyi (2012)
Childhood renal disorders in Ilorin, North Central Nigeria. Nig Postgrad Med J; 19 2 :88-91.
Ali, E. M., AlRahman, A.H. & Karrar, Z.A(2012). Pattern and outcome of renal diseases in hospitalized Khartoum State, Sudan. Sudan J. Peadiatric 12: 52-59.
Anochie, I. C. & Eke, F. U. (2005) Acute renal failure in Nigerian children: Port Harcourt Experience. Paed. Nephrol; 20 11:1610-14
Bellomo, R., Rincoc, C., Kelliu, J. A., Melita, R. C. & Palevcky P. (2004) Acute dialysis quality initiative Workgroup. Acute renal failure. Definition, outcome measures animal models, fluid therapy and information technology needs: The Second International Consensus Conference of the Acute Dialysis Quality Initiative(ADQI) group Crit care; 8: 204-12.
Bhatta, N. K., Shrestha, P., Budhatoki, S., Kalakhati B. K., Poudel, P., Singha, A. & Singha, R. (2008) Profile of renal diseases in Nepalese children. Kathmandu Univ Med J; 6 2;191-4.
Davis I. D. Avner E. D. (2007) Glomerulonephritis In: Behrman R. E, Kleigman R. M. , Arvin A. M. (Ed) 18th edition Textbook of Paediatrics W. B. Saunders: 2173-2179.
Derakhshhan A., Al Hashem G. H., Fallhzade M. H. (2004) Spectrum of In-patient renal diseases in children a report from Southern Part Islamic Republic of Iran. Saudi J Kidney Dis Transpl; 15:12-17.
Eke, F. U. & Eke, N. N. (1994) Renal disorders in children: A Nigerian study. Paediatric Nephrol; 8:383-6.
Elzouki, A. Y., Amin, F. & Jaiswal, O.P.(1983) Prevalence and pattern of renal diseases in Eastern Libya. Arch Dis Child; 58:106-109.
Ezeonwu, B., Okike. C., Oguonu & T., Nwakwo, O. (2014) Pattern of renal diseases in children admitted into the paediatric ward of Federal Medical Center ,Asaba.
Afr J. Paed Nephrol; 1:8-11.
Hazza, I., Mughraby, H.&, Najada, A.(1997) Spectrum of Paediatric renal diseases in Jordan. Saudi J. Kidney Dis Transpl; 8 : 314-6.
Ibadin, M. O., & Abiodun, P. (1998) Epidemiology and clinicopathologic characteristics of childhood nephrotic syndrome in Benin City, Nigeria. J. Pakistan Med Ass; 48:235-238.
Ibadin, O. M. & Ofovwe, E.G. (2003) Pattern of renal diseases in children in Midwestern zone of Nigeria.
Saudi J Kidney Dis Transpl; 14:39-44.
Ikpeme, E. E. & Dixon-Umo, O.T.(2014) Paediatric renal diseases in Uyo, Nigeria: a 10- year review. Afr J. Paed Nephrol; 1: 12-17.
Ladapo, T. A., Esezobor, C. & Leshi, F. E. (2014) Paediatric Kidney disease in an African Country: Prevalence, spectrum and outcome. Saudi J. Kidney Dis Transpl;
:1110-6.
National Kidney Foundation in Kidney Disease (2002), Outcome Quality Initiative Clinical Guideline for chronic kidney disease Evaluation, classification and stratification Part IV definition and classification of stages of chronic disease Am J. Kidney Dis; 39 : 546-75.
Ocheke, I. E., Okolo, S. N., Bode- Thomas, F. & Agaba, E. I. (2010) Pattern of childhood renal diseases in Jos, Nigeria. A preliminary report. J Med Trop; 12:52-53.
Ogunlesi, T. A., Dedeke, I. O. F. & Kuponiyi, O. T. (2008) Socioeconomic classification of children attending specialist Paediatric centers in Ogun State, Nigeria.
Nig. Med. Pract; 54 1:21-25.
Olowu, W. A. (2004) Paediatric acute renal failure in South Western Nigeria. Kidney Int; 66 4 :1541-8.
Onifade, E. U. (2003) A 10 -year review of childhood renal admissions into Lagos University Teaching Hospital , Nigeria. Nig Q J Hosp Med; 13:3-4.
Orta-Siba, N., Lopes, M. & Moriyan, J. C. (2002) Renal diseases in children in Venezuela. Paed Nephrol;
:566-569.
