title: Kidney transplant in Nigeria: a single centre experience.
abstract: BACKGROUND
  Kidney transplant is the preferred renal replacement therapy for patients with end stage kidney disease. However management of patients with kidney transplant in resource poor countries is evolving and groaning under several mental, financial and infrastructural challenges. The objective of the study is to evaluate the management of patients with kidney transplant in a kidney care Centre in Nigeria.
  
  
  METHODS
  This was a non-randomized prospective study. The study population were post-transplant patients presenting between 1stAugust 2010 and 31stDecember 2014.The biodata, pre and post-transplant details of these patients were documented. The data was analysed using SPSS Vs 17.
  
  
  RESULTS
  A total of 47 patients were studied with M: F ratio of 4:1, the mean age was 45.4 ± 13.6 years. Chronic glomerulonephritis, hypertension, diabetes mellitus and HIV related kidney disease were the commonest cause of CKD. Financial constraint delayed transplant in 66% and non-availability of donor in 17.2%. About 90% of the transplants were in India and 81% either financed the transplant either directly or through a relation. There was no cadaveric transplant and about 70% of the donors were not related. Tacrolimus, mycophenolate and prednisolone were most frequently used immunosuppressive combination. The one and three years graft survival were 95.3% and 67.6% respectively while corresponding patients survival were 97.7% and 82.4% respectively. Septicaemia, acute rejection and urinary tract infection were most common complications.
  
  
  CONCLUSIONS
  Management of patients with kidney transplant has good prospect despite the challenges.
authors.affiliation: Renal unit, Department of Medicine, ESUT Teaching Hospital Parklane, Enugu, Nigeria.
authors.forename: Umezurike Hughes
authors.initials: UH
authors.lastname: Okafor
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006084:Graft Rejection / Q000453:epidemiology / Q000517:prevention & control; D006085:Graft Survival; D006801:Humans; D007166:Immunosuppressive Agents / Q000008:administration & dosage*; D007676:Kidney Failure, Chronic / Q000209:etiology / Q000601:surgery*; D016030:Kidney Transplantation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009549:Nigeria; D011446:Prospective Studies; D055815:Young Adult
chemical_list: D007166:Immunosuppressive Agents
keywords: Chronic kidney disease; immunosuppression; kidney transplant; outcome; survival