Background: Community acquired Acute Kidney Injury 
(AKI) is more common in developing countries as 
compared to developed countries. Understanding of the 
epidemiology of community acquired AKI and its outcome 
with etiology and management is necessary to establish its 
overall burden and plan potential preventive strategies. 
Methods: All cases with community acquired AKI 
irrespective of manifestation and etiology were admitted 
for the study over a period of one year. All biochemical 
and hematological parameters were done by standard 
protocol as provided in the kit. After categorization, 
patients were followed up till their outcome in the form of 
improvement or deterioration/expiry. 
Results: Among different etiological types, septicemia was 
the most common type (39.1%) followed by malaria 
(38.0%), snake bite (11.9%) and volume depletion 
(10.9%). Among septicemia, post-partum sepsis and 
Urinary Tract Infection (UTI) were most common. Male 
predominance was significantly associated with malaria 
and snake bite whereas septicemia was significantly 
associated with female. Majority of the patients (69.6%) 
were managed conservatively while 30.4% required 
hemodialysis. Good outcome was seen in 74.4% cases 
while 25.6% showed bad outcome.Conclusion: Outcome can be improved by early referral 
and proper management of the patients and thus preventing 
them from landing into irreversible renal damage. Most 
patients improve on conservative management and only a 
few patients require hemodialysis.