Khalid Amin, Muhammad Bashir, Ghulam Abbas Sheikh, Pirzada Muhammad Anwer.
Acute Renal failure; Its etiology and prevalence in Faisalabad.
Professional Med J Jan ;8(2):244-50.

OBJECTIVES: 1) To find out the etiology and prevalence of acute renal failure in our society 2) To minimize the number of patients of ARF by adopting preventive measures 3) To provide health facilities at door-step according to the nature of disease. PERIOD: Jan 1997 to end of June 1998. SETTING: Allied Hospital/PMC, Faisalabad, Aziz Fatima Trust Hospital and National Hospital, Faisalabad. PATIENTS & METHODS: A total of 100 patients were studied. The data was collected on a special proforma containing informations regarding name, age, sex, occupation, history of oliguria, anuria, color of urine, body swelling, drug intake, vomiting, diarrhea, blood loss, stone etc. RESULTS: 62 were males and 38 females. The mean age was 54 years. Out of 100 patients pre-renal causes were present in 48 patients i.e. 48%. Intrinsic renal azotemia was present in 45 patients i.e. 45% and post renal azotemia was present in 7 patients i.e. 7%. CONCLUSIONS: ARF occurs in our society due to mismanaged obstetrical / gynacological or surgical problems, hot-humid environment, infections, drug abuse (Kushta intake), poisoning or partially treated medical causes. SUGGESTIONS: Government should provide health facilities at doorstep, in case of gynecological and surgical patients. Dai or quack handling should be avoided.

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