title: Changing perspectives in children hospitalized with poststreptococcal acute glomerulonephritis.
abstract: Changing perspectives in 95 children with poststreptococcal acute glomerulonephritis (PSAGN) in our hospital between 1979 and 1988 are reported. Between 1961 and 1970 an average of 31 +/- 6.3 patients/year with PSAGN were treated and 70% had antecedent pyoderma. In the present study antecedent pharyngitis was observed in 59 children and pyoderma in 36. In comparison to the decade ending in 1970 our data show: (1) a marked decline in the prevalence of PSAGN (P = less than 0.0005), (2) a predominance of antecedent pharyngeal infection (P = 0.044), (3) a decline in urban and an increase in rural patients with PSAGN (P = 0.0483); and in the last decade: (1) a predominance of antecedent pharyngeal infection in children over 6 years of age (P = 0.0009) and (2) a predominance of antecedent pyoderma in black children (P = 0.0004).
authors.affiliation: Section of Pediatric Nephrology, LeBonheur Children's Medical Center, University of Tennessee, Memphis 38103.
authors.forename: S
authors.initials: S
authors.lastname: Roy
authors.forename: F B
authors.initials: FB
authors.lastname: Stapleton
mesh_terms: D000208:Acute Disease; D000293:Adolescent; D044383:Black People; D002648:Child; D002675:Child, Preschool; D005921:Glomerulonephritis / Q000453:epidemiology* / Q000209:etiology; D006801:Humans; D007223:Infant; D010612:Pharyngitis / Q000150:complications; D011711:Pyoderma / Q000150:complications; D012189:Retrospective Studies; D013290:Streptococcal Infections / Q000150:complications*; D044465:White People