SÍNDROME NEFRÓTICO EN USUARIOS DE 1 A 12 AÑOS INGRESADOS EN LA UNIDAD DE PEDIATRÍA DEL HOSPITAL VERDI CEVALLOS BALDA DEL 2007 AL 2010

Abstract

In the absence of a protocol to the management of nephrotic syndrome in pediatric patients admitted to the Provincial Hospital Verdi Cevallos Balda, and avoid driving at free will which leads to increased complications and thus prolong the hospital stay. Prompted us to investigate the nephrotic syndrome and management protocols in patients aged 1 to 12 years admitted to pediatric since 2007-2010. Considering the general characteristics of the study universe, and one of the most common pediatric kidney diseases that occur with no history or predisposing factors to develop. The universe was made up of 30 medical records of patients diagnosed with nephrotic syndrome, the source of information was obtained from the statistical records of the Provincial Department of Public Health. For which they develop an instrument that allowed us to evaluate the categories of variables; Due to narrow number of cases records were taken from four consecutive years in the study. The results allowed to determine the etiology of this disease is idiopathic, develops more frequently in males (53%). The main clinical findings were facial edema (60%). The largest number of cases came from rural areas (57%). The steroid medication used was 100%, followed by antibiotics and diuretics. The hospital stay by 20% was between 1-3 days, 53% between 4-6 days and 27% over 7 days. The investigation concluded that management of nephrotic syndrome in pediatric patients is at the discretion of the physician who receives it, besides it is not possible to predict the disease before signs and symptoms appear so it requires early diagnosis and treatment to avoid complications. This investigation found no specific predisposing factor. The subrregistros in the medical records do not provide complete information for the study. This allowed us to develop the implementation of a management guide, it is made with scientific basis and current clinical evidence, this was given to the directors of the hospital for examination and subsequent implementation, enabling sustainability and sustainability of this research work.