Clinical picture of acute post-streptococcal glomerulonephritis in children at Ruteng hospital

Authors

  • Maria Y. R. D. Ongo Department of Pediatrics, Ruteng Hospital, NTT, Indonesia
  • Natasha A. Putri Department of Pediatrics, Ruteng Hospital, NTT, Indonesia
  • Octavini M. Naur Department of Pediatrics, Ruteng Hospital, NTT, Indonesia

DOI:

https://doi.org/10.18203/2320-6012.ijrms20233692

Keywords:

Glomerulonephritis, Streptococcus, ASTO, Acute kidney injury

Abstract

Background: Acute post-streptococcal glomerulonephritis (PSGN) is the main cause of acute nephritis in children, globally reaches more than 470,000 cases per year, 97% of which occur in developing countries. Sublinical cases are 4 times more common than symptomatic, so reports on the incidence of acute PSGN are very limited.

Methods: This study used a descriptive retrospective method from medical records at RSUD Ruteng from January to June 2023. Data were analyzed using the statistical package for the social sciences (SSPS) 22 program.

Results: Results of the study were obtained as 37 pediatric patients with acute PSGN. The patients age ranged 4-17 years with an average 9 years, 51.4% women and 48.6% men. Most cases occur after respiratory tract infections (75.7%). Symptoms of edema and hypertension (89.2% stage I and 10.8% stage II) was found in all patients and become the reason why patients come. Patients experienced macroscopic hematuria 16.2%. The laboratory test showed 100% microscopic hematuria, proteinuria in 72.1% and ASTO titer increased by more than 200 IU in all patients. Eleven patients with complications, acute renal failure (24.3%), hypertension encephalopathy (5.4%) and 1 patient with pulmonary edema. The average length of stay is 8 days (3-22 days).

Conclusions: The incidence of acute PSGN at RSUD Ruteng within 6 months is quite high. Acute PSGN in children causes severe complicationsand longer treatment. The prevention is needed to care about the importance of clean and healthy living behavior.

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Published

2023-11-29

How to Cite

Ongo, M. Y. R. D., Putri, N. A., & Naur, O. M. (2023). Clinical picture of acute post-streptococcal glomerulonephritis in children at Ruteng hospital. International Journal of Research in Medical Sciences, 11(12), 4301–4305. https://doi.org/10.18203/2320-6012.ijrms20233692

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Original Research Articles