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Saudi Journal of Kidney Diseases and Transplantation
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Year : 2003  |  Volume : 14  |  Issue : 4  |  Page : 539-544
Pattern of Renal Diseases in Children in Midwestern Zone of Nigeria

Department of Child Health,University of Benin Teaching Hospital, Benin City, Nigeria

Correspondence Address:
Ibasdin Okoeguale Michael
Department of Child Health, University of Benin Teaching Hospital, Benin City
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PMID: 17657132

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To document the pattern of childhood renal diseases in the mid-western zone of Nigeria, we evaluated 195 children in the pediatric in-patient service at the University of Benin Teaching Hospital (UBTH) from 1997-2002. There were 250 renal disease episodes that occurred in 195 children. Renal disease accounted for 4.5% of total pediatric admissions. Urinary tract infection (UTI) was found in 82 (32.8%) cases caused largely by Escherichia coli in 39 (47.6%) followed by Staphylococcus aureus in 21 (25.6%). Other morbidities were nephrotic syndrome 61(24.4%), characterized by high incidences of associated UTI and steroid resistance; acute glomerulonephritis (AGN) in 50 (20.0%), complicated commonly by UTI and congestive cardiac failure; chronic renal failure in 24 (9.6%), resulting mainly from obstructive uropathy and glomerulonephritidis and nephro­blastoma in 17 (6.8%). Rare conditions included acute renal failure, urethral prolapse, vesico-ureteric reflux, polycystic kidney disease, urolithiasis and meatal stenosis among others. We conclude that potentially preventable renal diseases are still highly prevalent in our society to warrant community-based interventions. Preventive measures are advocated.

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