Prevalence and associated factors of protein- energy wasting among patients with chronic kidney disease at Mulago hospital, Kampala-Uganda: a cross-sectional study

Namuyimbwa, L; Atuheire, Collins; Okullo, John Bosco Lamoris; Kalyesubula, Robert

doi:10.1186/s12882-018-0920-7

Cited by 14 publications

(25 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…18 However, the prevalence of PEW reported in both studies for Ethiopian CKD patients is much lower than what was reported from Mulago hospital, Kampala-Uganda which shows that the prevalence of PEW among CKD patients was 44%. 16 This difference might be due to geographical and lifestyle variations among populations included in the study.…”

Section: Discussionmentioning

confidence: 98%

“…This finding is similar to the Ugandan study which reported that the stage of CKD was associated with PEW; especially CKD patients with stage 4 were 6.4 times more likely to develop PEW compared to stage 1 CKD. 16 …”

Section: Discussionmentioning

confidence: 99%

“…15 A study conducted among patients with CKD at Mulago hospital, Kampala-Uganda: shows that the prevalence of PEW among CKD patients was 47.3% compared to 21.3% among the non-CKD participants. 16 …”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

<p>Protein-Energy Wasting and Associated Factors Among Chronic Kidney Disease Patients at St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia</p>

Merga

Girma

Teshome

2020

IJNRD

View full text Add to dashboard Cite

Background Protein-energy wasting is a major issue in patients with chronic kidney disease (CKD), adversely affecting morbidity, mortality, functional activity, and quality of life. Assessment of nutritional status in CKD patients is important to ensure patient’s normal protein stores and avoid metabolic complications. However, in Ethiopia, there were very few studies done to assess the prevalence of protein-energy wasting (PEW) and its associated factors among CKD patients. Objective To assess protein-energy wasting and associated factors among chronic kidney disease patients at adult OPD St. Paulo’s Hospital Millennium Medical College, Addis Ababa Ethiopia. Materials and Methods An institution-based cross-sectional study was conducted from March to April 2019. Data were collected using a structured interviewer-administered questionnaire and anthropometric measurements, and laboratory data were collected from patient files. Data were entered into Epi-data version 3.1 and analyzed using SPSS version 20. Both bivariate and multiple logistic regression analyses were performed to identify associated factors. P values <0.05 were considered to declare statistical significance. Results In this study, 274 respondents were interviewed with a response rate of 100%. The prevalence of protein-energy wasting in CKD patients was 23.4%. Chronic kidney disease patients at age ≥65 years were seven times more likely to have protein-energy wasting as compared to patients aged 18–34 years [AOR=7.0, 95% (CI: 2.4, 20.5)]. Patients who had a history of anorexia were 5.2 times more likely to have protein-energy wasting as compared to those who had no history of anorexia [(AOR=5.2, 95% (CI: 2.7, 10.3)] and were significantly associated with the risk of having CKD. Conclusion The prevalence of protein-energy wasting among CKD patients was high and associated with age, physical activity, history of anorexia, and CKD stages. Interventions that address nutritional problems and lifestyle factors in CKD patients need to be implemented together with medical treatment.

show abstract

Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

<p>Protein-Energy Wasting and Associated Factors Among Chronic Kidney Disease Patients at St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia</p>

Merga

Girma

Teshome

2020

IJNRD

View full text Add to dashboard Cite

show abstract

“…This has a bearing on reducing post-caesarean sepsis. Conversely catholic faith is liberal about alcohol consumption and this may have an implication on the risk of post-caesarean wound sepsis among the catholic mothers [35].…”

Section: Risk Factors Of Post Caesarean Wound Sepsis Among Mothers Atmentioning

confidence: 99%

Post Caesarean Wound sepsis and associated factors among patients attending a rural regional referral hospital in Western Uganda: A cross-sectional study

Muhumuza¹,

Lavingia²,

Tayebwa³

et al. 2020

Preprint

Self Cite

View full text Add to dashboard Cite

Background : Post-caesarean wound sepsis is among the most common problem for patients who undergo caesarean section. It remains a common and widespread problem contributing to morbidity and mortality; this could be due to an increase in antimicrobial resistance. Determining the burden of wound sepsis and common bacterial pathogens can provide solution to prevent incidence and establish microbiological mapping. Aim: To determine prevalence, identify factors, common bacterial pathogens from post-caesarean wounds and antibacterial susceptibility pattern at Hoima Regional Referral Hospital. Methods : A cross-sectional study was conducted among post-caesarean mothers attending Hoima Regional Referral Hospital. Consecutive enrolment of 303 participants who consented to participate was done. Structured questionnaires were used to collect data on associated factors and wound swabs were done prior to bacterial culture. Antibacterial susceptibility pattern of isolated bacterial pathogens was determined by Kirby Bauer disc diffusion method. Data was analyzed using Stata 14.2. Results : The wound sepsis rate was 16.8%. Being educated, multiple vaginal examination, hygiene, previous caesarean sections and HIV seropositivity were all significantly and positively associated with post-caesarean wound sepsis (p<0.05). The most implicated bacteria was Staphylococcus aureus and was most susceptible to ciprofloxacin. Resistance was most exhibited against ciprofloxacin, gentamycin, ceftriaxone and cotrimoxazole especially by coliforms. Conclusions. The rate of caesarean wound sepsis is high at Hoima Regional Referral Hospital . Being educated, multiple vaginal examination, hygiene, previous caesarean sections and HIV seropositivity are possible risk factors for the condition. Staphylococcus aureus is the commonest organism isolated from exudates of septic wounds after caesarean section. Awareness amongst health workers and patients about these major factors is necessary so that management can be directed. Rational use of antibiotics by health workers is paramount to combat resistance in this setting.

show abstract

“…El estudio EQUAL (European Quality Study on treatment in advanced chronic kidney disease), un estudio internacional, que valoro paciente en estadio renal 3 y Namuyimbwa et al (2018) indica en un estudio de Uganda que la prevalencia de la DPE en pacientes con ERC, en estados tanto predialíticos como dialíticos, es importante y su tamizaje y control reduce la morbimortalidad (11) .…”

Section: Prevalenciaunclassified

Desnutrición en Enfermo Renal Crónico

Vargas

2019

RC_UCR-HSJD

View full text Add to dashboard Cite

La desnutrición proteico-energética es una complicación usual en la población con trastorno renal, esta se ve asociado de forma importante con la morbi mortalidad de los pacientes, principalmente de aquellos que se encuentran en diálisis. El proceso fisiopatológico es complejo y actúa como un círculo vicioso en esta población. El diagnóstico oportuno, la prevención y el tratamiento generan un impacto positivo en la población nefrópata, tanto en diálisis como en prediálisis.

show abstract

Prevalence and associated factors of protein- energy wasting among patients with chronic kidney disease at Mulago hospital, Kampala-Uganda: a cross-sectional study

Cited by 14 publications

References 11 publications

<p>Protein-Energy Wasting and Associated Factors Among Chronic Kidney Disease Patients at St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia</p>

<p>Protein-Energy Wasting and Associated Factors Among Chronic Kidney Disease Patients at St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia</p>

Post Caesarean Wound sepsis and associated factors among patients attending a rural regional referral hospital in Western Uganda: A cross-sectional study

Desnutrición en Enfermo Renal Crónico

Contact Info

Product

Resources

About