Peritoneal Dialysis as a Mode of Treatment for Acute Kidney Injury in Sub-Saharan Africa

Callegari, John; Antwi, Sampson; Wystrychowski, Grzegorz; Żukowska-Szczechowska, E; Levin, Nathan W.; Carter, Mary

doi:10.1159/000356627

Cited by 25 publications

(18 citation statements)

References 15 publications

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“…When the cost of haemodialysis can equal the annual income of an African family, difficult decisions have to be made; in most cases, only a few haemodialysis sessions can be provided and the family is not able to commit to paying for long-term treatment [ 142 ]. Peritoneal dialysis is often the only life-saving and more affordable alternative to haemodialysis [ 143 ]. Despite the many technical innovations in renal replacement therapy, mortality remains high due to the ageing of the population and visceral failure, especially in a septic context [ 139 ].…”

Section: Management and Prognosis Of Aki In Sub-saharan Africamentioning

confidence: 99%

Prevalence and Factors Associated with Acute Kidney Injury in Sub-Saharan African Adults: A Review of the Current Literature

Kahindo

Mukuku

Wembonyama

et al. 2022

International Journal of Nephrology

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Acute kidney injury (AKI) is a complex condition that can occur in both community and hospital settings and has many aetiologies. These aetiologies may be infectious, toxic, surgical, or related to the different management methods. Although it is a major public health problem worldwide, it must be emphasised that both its incidence and mortality rate appear to be very high in sub-Saharan African (SSA) countries compared to developed countries. The profile of AKI is very different from that of more developed countries. There are no reliable statistics on the incidence of AKI in SSA. Infections (malaria, HIV, diarrhoeal, and other diseases), nephrotoxins, and obstetric and surgical complications are the main aetiologies in Africa. The management of AKI is costly and associated with high rates of prolonged hospitalisation and in-hospital mortality.

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Section: Management and Prognosis Of Aki In Sub-saharan Africamentioning

confidence: 99%

Prevalence and Factors Associated with Acute Kidney Injury in Sub-Saharan African Adults: A Review of the Current Literature

Kahindo

Mukuku

Wembonyama

et al. 2022

International Journal of Nephrology

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“…Programs launched in Africa in countries where RRT availability is severely restricted were lifesaving for dialysis-dependent patients with AKI. [60][61][62][63] In LIC, a structured referral and follow-up structure is crucial in order to optimize RRT to patients with AKI. Decisions regarding initiation, method, and frequency have to consider the limited availability of trained personnel and RRT equipment.…”

Section: Response: Interventions For Incipient and Established Acute mentioning

confidence: 99%

Preventing Acute Kidney Injury

Macedo

Mehta

2015

Critical Care Clinics

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“…However, acute PD may be a consideration in the pediatric population where vascular access options for hemodialysis may be limited. In addition, PD may be an important option for patients in resource-limited regions of the world where alternative modalities are not readily available [21]. However, it should be noted that, in contrary to RRT effluent, PD effluent will be highly infectious which will further limit the use of acute PD in adults in resource-rich settings.…”

Section: Importance Of Nephrology Involvementmentioning

confidence: 99%

Preparing for Renal Replacement Therapy in Patients with the Ebola Virus Disease

et al. 2014

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The Ebola virus disease (EVD) is a serious illness characterized by fever, severe vomiting and diarrhea, and, in severe cases, multi-organ failure requiring mechanical ventilation and renal replacement therapy. The current outbreak has centered in West Africa and affected over 15,000 individuals. EVD is transmitted by direct contact with blood or other infectious bodily fluid, and as such, numerous heath care workers caring for patients with EVD have become infected. During the current outbreak, a number of patients have received advanced supportive care for EVD in Europe and North America and therefore survived. Now, many hospitals in Europe and North America are planning to accept care for patients with EVD. In this review, we discussed the key issues related to the planning and delivery of advanced supportive care in patients with EVD with a focus on the factors necessary to provide renal replacement therapy (RRT). Since success in the treatment of patients with EVD rests on both patient outcome and prevention of transmission of disease to health care workers, we extensively discussed the modes of Ebola virus transmission and recommended protocols to protect health care workers. Experience now indicates that with appropriate planning and protocols, it is possible to successfully treat EVD patients with advanced supportive care (mechanical ventilation and RRT) while avoiding transmission to health care providers. Video Journal Club “Cappuccino with Claudio Ronco” at http://www.karger.com/?doi=371530.

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Peritoneal Dialysis as a Mode of Treatment for Acute Kidney Injury in Sub-Saharan Africa

Cited by 25 publications

References 15 publications

Prevalence and Factors Associated with Acute Kidney Injury in Sub-Saharan African Adults: A Review of the Current Literature

Prevalence and Factors Associated with Acute Kidney Injury in Sub-Saharan African Adults: A Review of the Current Literature

Preventing Acute Kidney Injury

Preparing for Renal Replacement Therapy in Patients with the Ebola Virus Disease

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