Abstract:
Introduction: In Sri Lanka, renal diseases are
increasing in the adult population. Spectrum of
renal disease is different in children when
compared to adults.
Objectives: To determine the disease burden of
paediatric renal diseases, spectrum and clinical
presentation.
Method: A retrospective study was done using the
electronic database maintained in the paediatric
professorial unit, Teaching Hospital Jaffna. Data of
patients admitted from January 2015 to December
2018 were analysed using the software available.
Results: Renal diseases accounted to 517 (3.9%)
cases of total admissions during the study period.
The male: female ratio was 1:1.1. Mean age of the
patients was 3.8±1.7 years. Urinary tract infection
(UTI) was the most common disease (55.9%)
followed by nephrotic syndrome (17.6%) and acute
glomerulonephritis (13.9%). Urine culture was
positive in 40% of the patients treated for UTI and
imaging studies were done in 90%. Majority
(94.6%) of the nephrotic syndrome were steroid
responsive and renal biopsy was performed in 23%.
Chronic kidney disease (3.9%) and renal tract
anomalies (1.9%) contributed to the disease load as
well. The overall outcome of the renal diseases
indicated that majority (49.9%) were on regular
follow-up and 6.1% were referred to specialised
renal units. Four (0.7%) died due to renal diseases.
Conclusions: Renal diseases accounted for 3.9% of
total admissions during the study period. UTI was
the commonest disease (55.9%) followed by
nephrotic syndrome (17.6%) and acute
glomerulonephritis (13.9%).
