Abstract: Objective: To carry out the first round of an audit to analyze how closely the NICE guidelines on Early Identification and management of chronic kidney disease in adults is adhered to by a medical ward in the National Hospital of Sri Lanka Methodology: 100 patients who were not diagnosed to have chronic kidney disease but had risk factors for future development of CKD were randomly selected from the male and female wards of the University professorial unit. Data were collected by inquiring from patients and going through the bed head tickets of the respective patients on to a data entry form regarding patient education, investigations and management according to NICE guidelines. Results: Target blood pressure was achieved in 66 % (n=66). Urine ward test was performed only in 58% patients and positive for protein in 15 patients. Investigations to exclude UTI were performed in 12%. ACEI, ARB and statins were prescribed only in 47%, 9% and 64% respectively. Though follow up was indicated in all these patients, it was arranged only in 17%. Conclusion: The adherence to NICE guidelines was found to be poor and the reason for this was lack of knowledge regarding the guidelines, unavailability of certain investigations in the government sector and lack of time for patient education as expressed by the doctors. `

Senaka Rajapakse¹, Dinushi Weerasinghe¹, Suneth de Silva², Chintaka Maithripala¹

¹Department of Clinical Medicine, Faculty of Medicine, University of Colombo, ²Diabetes Prevention Task Force, Sri Lanka Medical Association

Keywords: Chronic kidney disease , audit , prevention