Acute post‐streptococcal glomerulonephritis in Central Australia.
Objective: To determine the incidence, clinical presentation and progress of acute post‐streptococcal glomerulonephritis in Central Australia. Design: Retrospective observational analysis. Setting: Paediatric inpatient admission at Alice Springs Hospital. Participants: Patients admitted to Alice Spr...
| Publicado en: | Australian Journal of Rural Health Vol. 28; no. 1; pp. 74 - 81 |
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| Autores principales: | , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Feb2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=141957608&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 141957608 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10385282 FQO jtl: Australian Journal of Rural Health issn: 10385282 maglogo: Y pubinfo: dt: Feb2020 vid: 28 iid: 1 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 141957608 141957608 145869158 141957608 10.1111/ajr.12568 141957608 ppf: 74 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Acute post‐streptococcal glomerulonephritis in Central Australia. aug: au: Dowler, James Wilson, Angela affil: Alice Springs Hospital, Flinders University College of Medicine and Public Health, Alice Springs Northern Territory,, Australia sug: subj: Acute Disease Streptococcal Infections In Infancy and Childhood Glomerulonephritis Epidemiology Glomerulonephritis Symptoms Human Australia Retrospective Design Nonexperimental Studies Pediatric Care Hospitals Descriptive Statistics Incidence Skin Diseases, Infectious Comorbidity Biochemistry Electronic Health Records Confidence Intervals Hospitalization Infant Child, Preschool Child Male Female Prospective Studies Laboratories Kidney Ultrasonography Complement Kidney Diseases Aboriginal Australians Infant: 1-23 months Child, Preschool: 2-5 years Child: 6-12 years Male Female ab: Objective: To determine the incidence, clinical presentation and progress of acute post‐streptococcal glomerulonephritis in Central Australia. Design: Retrospective observational analysis. Setting: Paediatric inpatient admission at Alice Springs Hospital. Participants: Patients admitted to Alice Springs Hospital under 14 years of age meeting diagnostic criteria for acute post‐streptococcal glomerulonephritis between January 2010 and December 2014. Main Outcome Measures: Incidence of acute post‐streptococcal glomerulonephritis in central Australia. Biochemical abnormalities associated with acute post‐streptococcal glomerulonephritis. Co‐occuring conditions. Results: Sixty‐nine out of the 174 cases reviewed were identified as having either acute post‐streptococcal glomerulonephritis (63) or probable acute post‐streptococcal glomerulonephritis (6). We calculate the incidence of APSGN admission to be higher than previously reported and the highest reported incidence globally in children. Clinical evidence of skin infection was frequently documented. Co‐occurring infections were common, including scabies/head lice, urinary tract infection and pneumonia. Fifty‐three patients showed biochemical evidence of acute kidney injury. Conclusions: Aboriginal children in Central Australia have the highest incidence of acute post‐streptococcal glomerulonephritis reported worldwide. Urgent action is required to improve housing and reduce overcrowding in Central Australian towns and communities to reduce the burden of disease of skin infection and Group A Streptococcus related diseases. Without effective change in living conditions, it is unlikely that there will be a significant change in the morbidity related to these conditions. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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