When is inpatient care required to treat pediatric nephrotic syndrome?

Updated: Mar 04, 2020
  • Author: Jerome C Lane, MD; Chief Editor: Craig B Langman, MD  more...
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Answer

Admitting all patients with new-onset nephrotic syndrome to the hospital is not necessary. Individually address the decision on whether to admit the child or to investigate and initiate treatment on an outpatient basis.

Possible medical indications for admission include the following:

  • Anasarca, especially when resistant to outpatient therapy or accompanied by respiratory compromise, massive ascites, or scrotal/perineal or penile edema

  • Significant hypertension

  • Anuria or severe oliguria

  • Peritonitis, sepsis, or other severe infection

  • Significant respiratory tract infection

  • Significant azotemia

Hospital admission may be necessary because of social reasons and often is useful on initial presentation of idiopathic nephrotic syndrome (INS) in order to provide intensive education of the family regarding INS and long-term management at home.


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