[After-care of children with diseases of the kidneys and efferent urinary tract].

Abstract

In the district of Bautzen two different systems of care in nephrologic patients had been established since 1974. After the clinical diagnostics and treatment in the district hospital they had been transmitted to pediatric practices for after-treatment care. Beside it diagnostics and treatment in such patients was performed primarily in an outpatient department and the after-treatment care was done by the same pediatrician. In 78.4 percent of the children treated clinically an after-treatment care had been obtained, as was detected by a questionnaire. This must be of disadvantage. Relapses of the urinary tract infection occurred in more than 50 percent and after quite different intervals. In 27.6 percent of patients getting after-treatment care it was discontinued early. In the outpatient department 91.1 percent of all patients were under control regularly and for a sufficient time. More patients with chronic pyelonephritis had been recognized in the region of that outpatient department. The advantage of this system is given by a thorough supervision by the same physician above all. Without doubt the care for nephrologic patients can be carried out with high quality too by physicians in a private practice conscious of the importance of this task.