Dr. Sidharth one of the best Pediatric Nephrology and Nephrotic syndrome Specialist In Gurgaon,Delhi

Disparities In Dialysis In Children HYPOTHESIS:  Acute kidney injury (AKI) is a common cause of morbidity and mortality worldwide, with a pediatric incidence ranging from 19.3% to 24.1%.  Treatment of pediatric AKI  is a source of debate in varying geographical regions. Currently CRRT is the treatment for pediatric AKI, but limitations due to cost and accessibility force use of adult equipment and other therapeutic options such as peritoneal dialysis (PD) and hemodialysis (HD). It was hypothesized that more cost-effective measures would likely be used in developing countries due to lesser resource availability. METHODS:  A 26-question internet-based survey was distributed to 650 pediatric Nephrologists. There was a response rate of 34.3% (223 responses). The survey was distributed via pedneph and pcrrt email servers, inquiring about demographics, technology, resources, pediatric-specific supplies, and preference in renal replacement therapy (RRT) in pediatric AKI. Th...

What Is Nephrotic Syndrome And What Causes It? Nephrotic syndrome  is disease of the kidneys where the filtering system made of functional units called the nephrons, gets damaged. This is the name given to the collection of findings which develop as a result of such a damage. When the filtering system gets damaged, the kidney tends to filter substances which it usually doesn’t, and filter less of substances which it usually does. All of these issues give rise to some characteristic findings, which include: Large amounts of protein present in the urine which results from leakage of protein through the damaged nephrons which usually prevent protein leak. This is known as proteinuria in medical terms and is calculated according to your child’s age and body weight. Low levels of protein in the blood, which results from the protein leaking out into the urine, and is called Hypoalbuminemia. Edema or tissue swelling in all areas of the body, which is the result of reduced levels of protei...

  Cerebral Venous Sinus Thrombosis In Pediatric Nephrotic Syndrome A 2-year-old girl presented to the emergency room with recurrent seizures. The child had been diagnosed with nephrotic syndrome in the previous 2 weeks (serum albumin, 1.5 g/dl; serum creatinine, 0.4 mg/dl) and had been convulsing on and off since the week before presentation. Oral prednisolone (2 mg/kg per day) had been started for 2 weeks with no response. There was no metabolic cause of seizures with normal serum ammonia, blood gas, and serum electrolyte levels. About Dr. Dr. Sidharth Kumar Sethi Kidney & Urology Institute He was trained as a Fellow (International Pediatric Nephrology Association Fellowship) and Senior Resident in Pediatric Nephrology at All India Institute of Medical Sciences and Division of Pediatric Nephrology and Transplant Immunology, Cedars Sinai Medical Centre, Los Angeles, California. He has been actively involved in the care of children with all kinds of complex renal disorders, incl...

  PCRRT Groups Guidelines On AKI In Pediatric Hematopoietic Cell Transplantation Now Published In Journal Of Pediatric Nephrology Hematopoietic cell transplantation is a therapy to treat neoplastic & metabolic disorders, hematological diseases, & fatal immunological deficiencies, but a common complication is AKI. Read this evidence-based Guideline compiled by the PCRRT working group. About Dr.  Dr. Sidharth Kumar Sethi Kidney & Urology Institute He was trained as a Fellow (International Pediatric Nephrology Association Fellowship) and Senior Resident in Pediatric Nephrology at All India Institute of Medical Sciences and Division of Pediatric Nephrology and Transplant Immunology, Cedars Sinai Medical Centre, Los Angeles, California. He has been actively involved in the care of children with all kinds of complex renal disorders, including nephrotic syndrome, tubular disorders, urinary tract infections, hypertension, chronic kidney disease, and renal transplantation. ...

  Perioperative Albuminuria And Clinical Model To Predict Acute Kidney Injury In Paediatric Cardiac Surgery Happy & Proud to share with you that our DNB Nephrology Postgraduate Dr Arushi Nautiyal who did thesis with Dr Shyam Bansal and Dr Rajesh Sharma and me, got published in ‘ Pediatric Nephrology ’ journal today! It’s a landmark paper on AKI Risk Prediction for children undergoing a cardiac surgery. It emphasises the need to assess peri-operative proteinuria and a clinical model for risk prediction. Congrats Dr Arushi and team ! Tag =  Child Kidney Specialist in India ,  Best Pediatric Nephrologist in Delhi ,  Pediatric Kidney Transplant Specialist in Delhi For more information =  http://www.pediatricnephrologyindia.com/

  Background Neonatal acute kidney injury (AKI) is common in neonatal intensive care units (NICU) and leads to worse outcomes. Stratifying neonates into an “at risk” category allows health care providers to objectively recognize opportunities for improvements in quality of care. Methods The “Neonatal AKI Risk Prediction Scoring” was devised as the “STARZ [Sethi, Tibrewal, Agrawal, Raina, waZir]” Score. The STARZ score was derived from our prior multicentre study analysing risk factors for AKI in neonates admitted to the NICU. This tool includes 10 variables with a total score ranging from 0 to 100 and a cut-off score of 31.5. In the present study, the scoring model has been validated in our multicentre cohort of 744 neonates. Results In the validation cohort, this scoring model had sensitivity of 82.1%, specificity 91.7%, positive predictive value 81.2%, negative predictive value 92.2% and accuracy 88.8%. Based on the STARZ cut-off score of ≥ 31.5, an area under the receiver o...

  Critical Care Pediatric Nephrology & Pediatric Dialysis: A Practical Handbooks Happy to see the success of our ‘Handbook of Protocols of Critical Care Pediatric Nephrology & Pediatric Dialysis’ with Springers Publishers! It’s been two years and we get positive reviews each day! Thanks to the patients who are also teachers… ABOUT Dr.  Dr. Sidharth Kumar Sethi  is a Senior Consultant in Pediatric Nephrology and Pediatric Renal Transplant Medicine at the Kidney and Urology Institute, Medanta, India. He completed his fellowship (International Pediatric Nephrology Association Fellowship) and senior residency in Pediatric Nephrology at the All India Institute of Medical Sciences, New Delhi and the Division of Pediatric Nephrology and Transplant Immunology at Cedars Sinai Medical Centre, Los Angeles, California. He has been involved in numerous national and international meetings on pediatric acute kidney injury and pediatric dialysis. His chief interests include acute...

  Healthy Kidneys For Healthy Kids Better kidney health for kids: What you should know! Did you know that kidney diseases can start young? Literally. Unlike in the case of grown-ups, children can develop kidney diseases due to congenital defect, prematurity, or past hospitalization. "Also, children with a high-risk birth and early childhood history should be watched closely in order to help detect early signs of kidney disease in time to provide effective prevention or treatment. Needless to say that the sooner the issue is diagnosed, better can be the results," adds  Dr Sidharth Kumar Sethi, Consultant, Pediatric Nephrology, Medanta, The Medicity, Gurgaon . Early signs of kidney disease in kids Early diagnose of kidney problem can help treat the ailment in time. Here are some signs that you should watch out for: - Swelling around the eyes-face -feet- abdomen- whole body - Bed wetting (5 years or older) can be since birth or if the problem recurs after the child had stopped b...

 Transplant In Children Treatment by   -  Dr. Sidharth Kumar Sethi Recent literature has endorsed favorable outcomes following ABOi  kidney transplantation in pediatric  population. Nevertheless, reluctance to pursue an ABOi still remains pervasive. This could be ascribed to various legitimate reasons, namely less extensive pediatric ABOi data, technical difficulties encountered during PP, cost restraints, and concerns regarding higher rates of antibody-mediated rejection, infectious complications, and post-transplant lymphoproliferative disorder as compared to adults. However, given the similar excellent outcomes of both ABOi and ABOc  kidney transplantation , clinicians should consider this option sooner if a compatible donor or swap is not available. Here, we describe the outcomes of three pediatric ABOi performed at our institute in India (from 2014 till now), wherein distinct apheresis modalities had been employed in each desensitization protocol,...