THE ETIOLOGIES OF CHRONIC RENAL FAILURE IN CHILDREN IN ALI-ASGHAR AND LABAFI-NEJAD HOSPITALS

According to studies which have been perormed in the following hospitals (Hazrat-e- Aliasghar and Labafi-Nejad 245 children who were affected by end stage renal failure have been taken under studiees in terms of etiology and clinical finding. The principal aim of this study was to find etiologies of CRF of these patients and teaching the families to prevent its complications. The methods which have been used, are retrospective and in the from of the study of patients records. All patients had GFR less than 10cc/min/1/73m2. The cause of Renal failure were studied in all patients and the epidemic etiology of CRF in different age range has been determined. On the basis of these studies, in the ages under 5 years, diseases were congenital and inherited, and in the ages over 5 years the cause of diseases were the reflux nephropathy, and the congential and inherited diseases were the most cause of renal failure.Regarding high rate reflux in our studies which have been performed in other countries, the conclusion in that: the absence of regular planing in diagnosis and treatment of children who were affected by UTI and reflux, made the above disease as the most cause of ESRD in age range of 5-9 years and 10-17 years. Also, the late diagnosis of the congential-inherited disease (Specially congential obstrustive diseases) made them as the probable cause of ESRD in the patients over 5 years groups. The conclusion of this study was that the average age of final process of CRF in patients of this study was less than other studies in the same category. The lower level of health and awareness in families, and lack of early diagnosis and attention of physician to the patients can be reason of this difference.