Changing perspectives in children hospitalized with poststreptococcal acute glomerulonephritis

Pediatr Nephrol. 1990 Nov;4(6):585-8. doi: 10.1007/BF00858626.

Abstract

Changing perspectives in 95 children with poststreptococcal acute glomerulonephritis (PSAGN) in our hospital between 1979 and 1988 are reported. Between 1961 and 1970 an average of 31 +/- 6.3 patients/year with PSAGN were treated and 70% had antecedent pyoderma. In the present study antecedent pharyngitis was observed in 59 children and pyoderma in 36. In comparison to the decade ending in 1970 our data show: (1) a marked decline in the prevalence of PSAGN (P = less than 0.0005), (2) a predominance of antecedent pharyngeal infection (P = 0.044), (3) a decline in urban and an increase in rural patients with PSAGN (P = 0.0483); and in the last decade: (1) a predominance of antecedent pharyngeal infection in children over 6 years of age (P = 0.0009) and (2) a predominance of antecedent pyoderma in black children (P = 0.0004).

MeSH terms

  • Acute Disease
  • Adolescent
  • Blacks
  • Child
  • Child, Preschool
  • Glomerulonephritis / epidemiology*
  • Glomerulonephritis / etiology
  • Humans
  • Infant
  • Pharyngitis / complications
  • Pyoderma / complications
  • Retrospective Studies
  • Streptococcal Infections / complications*
  • Whites