WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

Roua Hameed Kadhem*, Ali Kadhem Tarish and Mohammed Auda Mutter

ABSTRACT

Background: Chronic kidney disease is a devastating medical, psychological, social and economic problem for patients and their families. Aim of the study: determine the etiology, clinical presentation, and treatment modalities of CKD in children admitted to hospital. Method: A Retrospective study of all children with chronic kidney disease admitted to Bint Al-Huda teaching hospital in south of Iraq during the period from 1st of August 2023 to 1st of December 2023. Results: Under 15, the study comprised 57 CKD patients, 31 (54.4%) male and 26 (45.6%) female. Male 1.19:1. Their ages fall between 1 and 15 years. In this study, stage III or IV renal insufficiency makes around 70.2% of the cases. Affected 2 (3.5%) persons; followed by stage II 8 (14%), and end stage 7 (12.3%). stage I renal insufficiency. There were twenty-three (40.3%) patients aged 5–10 years. Congenital defects caused CKD in 26 (45.6%) people; glomerulopathies in 18 (31.6%) followed by idiopathic in 11 (19.3%). In 55 (96.4%), anaemia was the most common symptom; followed in 25 (43.8%) by failure to thrive and in 19 (33.3%) by acidotic breathing. Six (10.5%) had hemodialysis; two (3.5%) got peritoneal dialysis; and forty-nine (86%) got conservative medical treatment. Conclusion: More often in men, congenital anomalies were the main cause of CKD among our patients. Postnatal therapy depends critically on prenatal ultrasonic screening for urinary system problems. Mostly, our patients get conservative medical treatment.

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