Christopher Imokhuede Esezobor1, Taiwo Augustina Ladapo2, Foluso Ebun Lesi1. 1. Department of Paediatrics, Faculty of Clinical Sciences, College of Medicine, University of Lagos, P.M.B. 12003, Lagos, Nigeria; Department of Paediatrics, Lagos University Teaching Hospital, Idi-Araba, Lagos, NigeriaDepartment of Paediatrics, Faculty of Clinical Sciences, College of Medicine, University of Lagos, P.M.B. 12003, Lagos, Nigeria; Department of Paediatrics, Lagos University Teaching Hospital, Idi-Araba, Lagos, Nigeria. 2. Department of Paediatrics, Faculty of Clinical Sciences, College of Medicine, University of Lagos, P.M.B. 12003, Lagos, Nigeria; Department of Paediatrics, Lagos University Teaching Hospital, Idi-Araba, Lagos, Nigeria.
Abstract
UNLABELLED: ♦ INTRODUCTION: International professional groups are supporting the training of physicians in developing countries in nephrology, including peritoneal dialysis (PD). This report documents the impact of such efforts in the provision of manual PD for children with acute kidney injury (AKI) in a public hospital in Lagos, Nigeria. ♦ METHODS: Medical records of all children with AKI managed with PD between July 2010 and March 2013 were reviewed. ♦ RESULTS: Seventeen children with a mean (SEM) age of 3.8 (0.8) years received PD for 0 - 18 days; about half were infants. PD was provided manually, frequently with intercostal drains as catheters. Blockage of catheters and peritonitis occurred in 4 (23.5%) and 2 (11.8%) children, respectively. Eight (47.1%) of the 17 children had resolution of AKI and were discharged from hospital. In 4 (57.1%) of the 7 children who died, PD was performed for ≤ 2 days. ♦ CONCLUSION: PD for childhood AKI is feasible in resource-constrained regions with fairly good outcome. Blockage of catheter was the most common complication encountered.
UNLABELLED: ♦ INTRODUCTION: International professional groups are supporting the training of physicians in developing countries in nephrology, including peritoneal dialysis (PD). This report documents the impact of such efforts in the provision of manual PD for children with acute kidney injury (AKI) in a public hospital in Lagos, Nigeria. ♦ METHODS: Medical records of all children with AKI managed with PD between July 2010 and March 2013 were reviewed. ♦ RESULTS: Seventeen children with a mean (SEM) age of 3.8 (0.8) years received PD for 0 - 18 days; about half were infants. PD was provided manually, frequently with intercostal drains as catheters. Blockage of catheters and peritonitis occurred in 4 (23.5%) and 2 (11.8%) children, respectively. Eight (47.1%) of the 17 children had resolution of AKI and were discharged from hospital. In 4 (57.1%) of the 7 children who died, PD was performed for ≤ 2 days. ♦ CONCLUSION:PD for childhood AKI is feasible in resource-constrained regions with fairly good outcome. Blockage of catheter was the most common complication encountered.
Authors: A Akcan-Arikan; M Zappitelli; L L Loftis; K K Washburn; L S Jefferson; S L Goldstein Journal: Kidney Int Date: 2007-03-28 Impact factor: 10.612
Authors: Fredric O Finkelstein; William E Smoyer; Mary Carter; Ariane Brusselmans; John Feehally Journal: Perit Dial Int Date: 2014 Jul-Aug Impact factor: 1.756
Authors: Christopher I Esezobor; Adebimpe E Alakaloko; Bashir Admani; Rashid Ellidir; Peter Nourse; Mignon I McCulloch Journal: Curr Pediatr Rep Date: 2021-10-25