Childhood Acute Post Streptococcal Glomerulonephritis in Far North Queensland.

Objective: To determine the recent incidence of paediatric Acute Post Streptococcal Glomerulonephritis in Far North Queensland and associated co‐occurring clinical conditions. Setting: Paediatric inpatient unit. Participants: Patients admitted to Hospital under 14 years of age meeting diagnostic cri...

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Publicado en:Australian Journal of Rural Health Vol. 33; no. 4; pp. 1 - 8
Autores principales: Nderitu, Mercy, McDougall, Emma, Volkman, Thomas
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Aug2025
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: Australian Journal of Rural Health
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      dt: Aug2025
      vid: 33
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        187572799
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        10.1111/ajr.70069
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        atl: Childhood Acute Post Streptococcal Glomerulonephritis in Far North Queensland.
      aug:
        au:
          Nderitu, Mercy
          McDougall, Emma
          Volkman, Thomas
        affil: Torres and Cape Hospital and Health Service, Cairns, Australia
      sug:
        subj:
          Streptococcal Infections Epidemiology
          Streptococcal Infections Complications
          Glomerulonephritis Epidemiology
          Acute Disease
          Comorbidity
          Human
          Queensland
          Male
          Female
          Infant
          Child, Preschool
          Child
          Adolescence
          Retrospective Design
          Record Review
          Nonexperimental Studies
          Torres Strait Islanders
          Aboriginal Australians
          Disease Surveillance
          Descriptive Statistics
          Confidence Intervals
          Skin Diseases
          Rural Areas
          Rural Health Services
          Geographic Factors
          Infant: 1-23 months
          Child, Preschool: 2-5 years
          Child: 6-12 years
          Adolescent: 13-18 years
          Male
          Female
      ab: Objective: To determine the recent incidence of paediatric Acute Post Streptococcal Glomerulonephritis in Far North Queensland and associated co‐occurring clinical conditions. Setting: Paediatric inpatient unit. Participants: Patients admitted to Hospital under 14 years of age meeting diagnostic criteria for APSGN between January 2015 and January 2020. Design: Single centre, retrospective observational analysis. Data and clinical information was extracted from electronic medical records. Case definitions were as specified in the Northern Territory guidelines for APSGN. Results: APSGN (n = 61) or probable APSGN (n = 4) was found in 65 of the 86 identified cases. Fifty‐five APSGN cases were identified as being Aboriginal and/or Torres Strait Islander, with the remaining 10 cases identifying as other ethnic groups. Mean annual incidence (0–14 years) was 27/100 000 person years. Aboriginal and/or Torres Strait Islander population incidence was 104/100 000 person years. Recurrent skin infection was noted in the majority of cases. Nineteen cases were lost to follow up; of these, 15 were from rural regions. Conclusions: A high incidence of childhood APSGN is present in Far North Queensland, with First nation's children overrepresented. This further adds to the national body of data on the disease, highlighting the necessity of an amplified response addressing the disease burden of group A Streptococcus and its main drivers, social disadvantage and remoteness. There is a need for enhanced surveillance and monitoring of the chronic sequelae of APSGN. Opportunities exist to amalgamate follow‐up practices across the region, and there is a need to enact reporting of the disease in Queensland.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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