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.