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Profile of renal diseases in North-East Indian children
1Department of Pediatrics, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India.
Insights
Pediatric kidney diseases, including nephrotic syndrome and glomerulonephritis, are common in hospitalized children in Northeast India. Many of these renal diseases are preventable and treatable with timely medical intervention.
Area of Science:
- Pediatric Nephrology
- Internal Medicine
- Public Health
Background:
- Renal disease patterns vary globally due to genetic, socioeconomic, and infectious factors.
- Limited data exists on the spectrum of pediatric renal diseases in India.
- This study addresses the knowledge gap in Northeast India.
Purpose of the Study:
- To investigate the profile and prevalence of renal diseases in hospitalized children in Northeast India.
- To identify the most common pediatric renal diseases and their causes.
- To highlight the burden and potential preventability of these conditions.
Main Methods:
- A cross-sectional study was conducted in a tertiary care government medical college in Assam.
- Hospitalized children over a one-year period were assessed for renal disease.
- Diagnosis was based on medical history, clinical examination, and laboratory investigations.
Main Results:
- 7.17% of admitted children had renal diseases.
- Nephrotic syndrome was the most prevalent, followed by glomerulonephritis.
- Acute post-infectious glomerulonephritis and septicemia (causing acute kidney injury) were common.
Conclusions:
- Renal diseases represent a significant cause of pediatric morbidity in the region.
- A majority of these kidney diseases are treatable.
- Infective etiologies contribute substantially, indicating potential for prevention.
Abstract:
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.
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