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Magnitude and associated factors of acute post streptococcal glomerulonepheritis among pediatric patients in aksum public hospitals, tigray, Ethiopia


MOJ Public Health
Haileselasie Berhane Alema,2 Amanuel Alem,1 Meresa Gebremedhin,2 Tadis Birhane,2 Abraham Mengstu3

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Abstract

Objective: Acute post streptococcus glomerulonephritis is reported from all over the world with higher rates among children than in adults. The objective of this study was to assess the magnitude and associate factors of acute post streptococcal glomerulonephritis among pediatric patients in Aksum city public hospitals, Tigray, Ethiopia. Methods: Institution based cross sectional study was conducted to retrieve data from 384 medical records of pediatric patients admitted to pediatric wards of Aksum city public hospitals between 2016 and 2018. The collected data were entered in to SPSS version 21 database for analysis. Finally, multivariate logistic regression was employed to identify determinants of adverse birth outcome at P value<0.05. Results: Acute post streptococcal glomerulonephritis was diagnosed in 31.51% of pediatrics patients. Nutritional status [AOR=2.37, 95%CI (1.28–4.41)], previous history of sore throat and skin infection [AOR=7.23; 95%CI (1.12–46.50)], duration of sore throat infection [AOR=0.35; 95%CI (0.18–0.66)], and season of infection [AOR=9.93; 95%CI (4.78–20.62)] were factors significantly associated with the development of acute post streptococcal glomerulonephritis among children. Conclusion: There is high burden of acute poststreptococcal glomerulonephritis among pediatric age group patients in Aksum public hospitals. Focus should be given to the early diagnosis and treatment of streptococcal pharyngitis.

Keywords

acute post streptococcal glomerulonephritis, pediatrics, public hospital, streptococcal Pharyngitis, determinants

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