Clinical Audit on Management of Acute Poststreptococcal Glomerulonephritis in Children Admitted to Assiut University Children Hospital

Document Type : Original Article

Authors

Department of Pediatrics, Faculty of Medicine, Assiut University, Assiut, Egypt

Abstract

Background: acute poststreptococcal glomerulonephritis (APSGN) is the most common glomerulopathy among children in our community. Aim: to assess degree of adherence of medical physicians to Assiut University Children Hospital protocol for management of acute poststreptococcal glomerulonephritis. Patients and Methods: fifty eight patients with APSGN admitted to Assiut University Children Hospital were included in this study. The unit´s protocol wasfollowed for the management of these cases. Results: evaluation of the studied patients were done perfectly except for 12% of patients not asked about symptoms suggestive ofhypertension (HTN) and 14% not checked for oliguria and some laboratory investigations with less importance in diagnosis. Management was perfectly done except for general and supportive measures including daily weighting, calculating fluid input and output, which showed some defect. Putting patients on blood pressure percentiles was not done at all. Conclusion: evaluation of the APSGN patients includes taking proper history of nephritic symptoms and careful clinical examination. Main treatment includes monitoring fluid status and HTN, and proper management to avoid complications. Recommendation: stress on general and supportive measures including weighting patients daily, calculating fluid input and output, checking patients for oliguria, and follow up proper dietary measures especially for hypertensive and hyperkalemic patients. Stress in putting patients on blood pressure levels according to age and height percentiles for accurate detection of HTN.

Keywords

The Egyptian Journal of Hospital Medicine
Volume 74, Issue 1
January 2019
Pages 80-86

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