Características clínicas de hidronefrosis, consulta externa de pediatría, Hospital José Carrasco Arteaga, Cuenca-Ecuador, 2018-2019

Abstract

BACKGROUND The hydronephrosis without proper treatment, it produces progressive kidney damage, therefore, prompt diagnosis reduces morbidity and mortality and improves prognosis. GENERAL PURPOSE To determine the clinical characteristics of hydronephrosis in children cared for in the Pediatric outpatient service of the José Carrasco Arteaga Hospital, Cuenca-Ecuador, during the period 2018-2019. METHODOLOGY A descriptive study was carried out; the universe consisted of all the patients (96) diagnosed with hydronephrosis who attended the Pediatric Surgery Outpatient Clinic at the José Carrasco Arteaga Hospital. The data were taken from the clinical records of the institution's AS-400 system in a form prepared by the author and analyzed in the SPSS program.15. Descriptive analysis was applied. RESULTS Of the 96 patients studied, 51 % were male; the predominant age at diagnosis was preschool children, 51 % ; 57,3 % came from the urban area. In relation to nutritional status, 20,8 % presented malnutrition. In 33,3 %, urinary tract infection was detected. 37,5 % had grade III urinary obstruction and 28,1 %, grade II. The most frequent malformation that accompanies hydronephrosis was pyeloureteral stenosis, 46,8 %, and 8,3 % of the parents had a history of hydronephrosis. CONCLUSIONS Pyeloureteral stenosis was the most common malformation that accompanied hydronephrosis, and detection of urinary tract infection occurred in one third of the patients