Acute renal failure in Congolese children: a tertiary institution experience
Version of Record online: 7 SEP 2012
© 2012 The Author(s)/Acta Pædiatrica © 2012 Foundation Acta Pædiatrica
Volume 101, Issue 11, pages e514–e518, November 2012
How to Cite
Aloni, M. N., Nsibu, C. N., Meeko-Mimaniye, M., Ekulu, P. M. and Bodi, J. M. (2012), Acute renal failure in Congolese children: a tertiary institution experience. Acta Paediatrica, 101: e514–e518. doi: 10.1111/j.1651-2227.2012.02827.x
- Issue online: 1 OCT 2012
- Version of Record online: 7 SEP 2012
- Accepted manuscript online: 29 AUG 2012 12:35PM EST
- Received 10 April 2012; revised 13 August 2012; accepted 15 August 2012
- Acute peritoneal dialysis;
- Acute renal failure;
Aim: Published data on acute renal failure in children from the Democratic Republic of Congo are rare. The objective of this study was to review clinical manifestations, aetiologies and outcome in hospitalized children with acute renal failure.
Methods: A retrospective study at Pediatric Nephrology Unit of University Hospital of Kinshasa was carried out.
Results: Fifty-six children with acute renal failure were eligible. There were 31 boys (55.4%) and 25 girls (44.6%) with a sex ratio of 1.24. The median age was 6.7 years (range 1–13 years). Fever (80.3%), oligo-anuria (73.2%), jaundice (67.9%) were the common clinical presentation. Blackwater fever (42.8%) was the leading cause of Acute Renal Failure. The incidence of severe dehydration because of gastroenteritis was low (5.3%). Around 12.5% of patients’ misused herbal plants. Acute Peritoneal Dialysis was indicated in 15/56 children and only performed in four patients. Fourteen children (25%) died.
Conclusion: A wide spectrum of features was seen in hospitalized Acute Renal Failure children and limited access to Acute Peritoneal Dialysis remained an important mortality risk factor.