The Identification of Acute Post Streptococcus Glomerulonephritis Risk Factors in Children

Introduction Acute Post Streptococcal Glomerulonephritis (APSGN) is one of the most common cause of glomerular disease in children in developing countries, including Indonesia. Therefore, it is important to know the various risk factors that affect the incidence of APSGN, so the early diagnosis can be established. Materials and methods A cross-sectional study was conducted to identify the risk factors of APSGN in children. The data were collected from medical records of APSGN patients hospitalized in Dr. Wahidin Sudirohusodo Hospital, Makassar from January 2010 to December 2014. Results There are 137 samples consisted of 86 (62.8%) APSGN cases and 51 (37.2%) of Non-APSGN cases. The bivariate analyses revealed that there were 5 variables that associated to APSGN age -5 years (p = 0.000, COR 35, 42 with 95% CI (4.51-278.27)), malnutrition (p = 0.000, COR 6.77 with 95% CI (3.14 ? 14.61)), low socioeconomic status (p = 0.000, COR 17.94 with 95% CI (7.45 ? 43.21)), less maternal's education level (p = 0.000, COR 18.95 with 95% CI (7.63 ? 47.11)) and the rainy season (p = 0.003, COR 2.91 with 95% CI (1.41 ? 5.99)). The multivariate analyses revealed that there were 4 variables associated with APSGN age -5 years (p=0.019, AOR = 14.36), low socioeconomic status (p=0, 005, AOR 5.25), less maternal's education level (p=0.004, AOR=5.54) and rainy season (p=0.03, AOR=3.05). Conclusions The risk factors of APSGN in children were age -5 years, low socioeconomic status, less maternal's education level and rainy season.