Chronic Renal Failure in the children of Sistan and Balouchestan province

Background: Chronic renal failure is an irreversible disease and is a common cause of mortality
and morbidity in the children throughout the world. The etiology is different according to genetic
and environmental factors. Determining the cause of CRF can contribute to its appropriate
management and prevention of its progress.
Methods and Materials: A cross sectional study was performed on 76 patients with CRF in a 9
year period. The patients were either admitted to the nephrology ward or were under observation of
the nephrology clinic or dialysis division. The required data were filled in special forms and then
were analyzed.
Results: The average age of the patients for the initiation of CRF was 9.22± 4.1 years. 4.8% of
those admitted to the nephrology ward and 0.23% of total admissions in the hospital suffered CRF.
The most common causes of CRF in decreasing of frequency were congenital anatomic disorders of
the urinary tract (47.4%), acquired nephritis (15.8%), inherited renal diseases (9.2%), and renal
calculi (7.9%). 67% of the parents were no educated, 75% were insured, 56.6% were close relatives
and had an average monthly income of 1150000 Rials. Eight of the patients were non-Iranians.
Conclusions: Early diagnosis and appropriate management of the most common causes of CRF
might prevent the disease or retard the progress to end stage renal failure.