Dr Chowdhury Md Navim Kabir1
1Government Employee Hospital, , Bangladesh
Biography:
Dr Chowdhury Md Navim Kabir is working as emergency physician on Government Employee Hospital Bangladesh. Along with professional work he has involve din research and 9 of his articles already published on different peer reviewed journal. He has also participated on number of local and international conferences.
Background:
Chronic Kidney Disease (CKD) is one of the most rising non-communicable disease now a days. Besides some visible co-morbidities, long standing Urinary tract infection (UTI) and its genetic predisposition become significant. So preventive perspective gradually highlighted as burning issue.
Method:
In time period from February 2023- August 2023,75 patients (female)with age range of 35-47 years came with complaint of loin pain, low grade fever with lethargy(from last 1-1.5 years) with no significant co-morbidities 37 patients having history of late voiding with rest of family history of UTI. Serum creatinine with eGFR, complete blood picture and other investigations given for further study and follow up.
Result:
After 1 month follow up, 45% patients s.creatinine found in the range(1.8-3.5)mg/dl.35% patients in( 4-6.5)mg/dl, rest of the patients found significant symptoms for hemodialysis to be relieved. 39% of patients of above two groups who had history of late voiding with positive family history of UTI. This group has been advised to start quick voiding as well as to maintain post coital hygienicity (for married women) for 6 months until next follow up. Dramatically 33 patients’ creatinine level fall (0.15- 1.37)% who had history of both family evidence and late voiding. The creatinine level fall 0.09-0.75% in positive family history.
Conclusion:
Though the rate of decrease of creatinine in positive family history of UTI is not so much satisfactory its prevention based upon early voiding habit, screening of positive family history may be helpful to slow the rate of progression of Chronic Kidney disease.