By the time the child with acute PSGN presents with symptoms, the glomerular injury has already occurred and the healing process has begun. Only a small percentage of patients with acute glomerulonephritis require initial hospitalization and most of those are ready for discharge in 2-4 days. As soon as the blood pressure is under relatively good control and diuresis has begun, most patients can be discharged and monitored as outpatients. Local skin infections will be treated with penicillin for 10 days but steroids are not warranted.