Peritoneal dialysis for children with acute kidney injury in Lagos, Nigeria: experience with adaptations.
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BACKGROUND
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. ♦


CONCLUSIONS
PD for childhood AKI is feasible in resource-constrained regions with fairly good outcome. Blockage of catheter was the most common complication encountered.
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.
Christopher Imokhuede
CI
Esezobor
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.
Taiwo Augustina
TA
Ladapo
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.
Foluso Ebun
FE
Lesi
D058186:Acute Kidney Injury / Q000453:epidemiology / Q000628:therapy*; D002408:Catheters, Indwelling; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D007223:Infant; D008297:Male; D009549:Nigeria / Q000453:epidemiology; D010530:Peritoneal Dialysis / Q000379:methods*; D012189:Retrospective Studies; D015996:Survival Rate / Q000639:trends; D016896:Treatment Outcome
Acute kidney injury; catheter blockage; catheters; peritoneal dialysis; peritonitis; sepsis