Acute renal failure in Congolese children: a tertiary institution experience

Authors

  • Michel N Aloni,

    1. Pediatric Nephrology Unit, Department of Pediatrics, University Hospital of Kinshasa, School of Medicine, University of Kinshasa, Kinshasa, Democratic Republic of Congo
    Search for more papers by this author
  • Célestin N Nsibu,

    1. Intensive Care Division, Department of Pediatrics, University Hospital of Kinshasa, School of Medicine, University of Kinshasa, Kinshasa, Democratic Republic of Congo
    Search for more papers by this author
  • Mobuli Meeko-Mimaniye,

    1. School of Medicine, Simon Kimbangu University, Kinshasa, Democratic Republic of Congo
    Search for more papers by this author
  • Pépé M Ekulu,

    1. Pediatric Nephrology Unit, Department of Pediatrics, University Hospital of Kinshasa, School of Medicine, University of Kinshasa, Kinshasa, Democratic Republic of Congo
    Search for more papers by this author
  • Joseph Mabiala Bodi

    1. Intensive Care Division, Department of Pediatrics, University Hospital of Kinshasa, School of Medicine, University of Kinshasa, Kinshasa, Democratic Republic of Congo
    Search for more papers by this author

Michel N Aloni, Division of Hemato-Oncology and Nephrology, Department of Pediatrics, University Hospital of Kinshasa, School of Medicine, University of Kinshasa, PO Box 123 Kinshasa XI, Democratic Republic of Congo.
Tél: +00(32) 488 36 77 76 |
Email: michelaloni2003@yahoo.fr

Abstract

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.

Ancillary