Skip to main content

Advertisement

Log in

Improvised, emergency peritoneal dialysis in children with acute kidney injury amid war in Tigray, Northern Ethiopia: two teaching cases

  • Lessons for the Clinical Nephrologist
  • Published:
Journal of Nephrology Aims and scope Submit manuscript

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Abbreviations

AKI:

Acute kidney injury

ISPD:

International Society of Peritoneal Dialysis

KRT:

Kidney replacement therapy

NGT:

Nasogastric tube

PD:

Peritoneal dialysis

PIGN:

Post-infectious glomerulonephritis

RPGN:

Rapidly progressive glomerulonephritis

References

  1. Mishra OP, Gupta AK, Pooniya V, Prasad R, Tiwary NK, Schaefer F (2012) Peritoneal dialysis in children with acute kidney injury: a developing country experience. Perit Dial Int 32(4):431–436. https://doi.org/10.3747/pdi.2012.00118

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  2. Okoronkwo NC, Ijeoma S, Chapp-Jumbo AU, Eke FU (2017) Improvised peritoneal dialysis on a 5-year-old girl: experience with double lumen haemodialysis catheter in South East, Nigeria. Afr J Paed Nephrol 4:49–56

    Google Scholar 

  3. Esezobor CI, Ladapo TA, Osinaike B, Ebun F, Lesi A (2012) Paediatric acute kidney injury in a tertiary hospital in Nigeria: prevalence, causes and mortality rate. PLoS ONE 7(12):e51229. https://doi.org/10.1371/journal.pone.0051229

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Bonilla-Félix M (2009) Peritoneal dialysis in the pediatric intensive care unit setting. Perit Dial Int 29(Suppl 2):S183–S185

    Article  PubMed  Google Scholar 

  5. Kilonzo KG, Ghosh S, Temu SA, Maro V, Callegari J, Carter M (2012) outcome of acute peritoneal dialysis in Northern Tanzania. Perit Dial In 32(8):261–266. https://doi.org/10.3747/PDI.2012.00083

    Article  Google Scholar 

  6. Obiagwu P, Wada A, Akhiwu H, Gwarzo G (2012) Managing acute kidney injury in a child with improvised peritoneal dialysis in Kano, Nigeria. Niger J Basic Clin Sci 9(2):84. https://doi.org/10.4103/0331-8540.108472

    Article  Google Scholar 

  7. Fredrick F, Valentine G (2013) Improvised peritoneal dialysis in an 18-month-old child with severe acute malnutrition (kwashiorkor) and acute kidney injury: a case report. J Med Case Rep 28(7):168. https://doi.org/10.1186/1752-1947-7-168

    Article  Google Scholar 

  8. Gorbatkin C, Bass J, Finkelstein FO, Gorbatkin SM (2018) Peritoneal dialysis in austere environments: an emergent approach to renal failure management. West J Emerg Med 19(3):548–556. https://doi.org/10.5811/westjem.2018.3.36762

    Article  PubMed  PubMed Central  Google Scholar 

  9. Berhe E, Paltiel O, Teka H, Gebrearegay H, Abraha HE, Tequare MH, Mulugeta A (2022) Ethiopia’s Tigray dialysis service cut due to dwindling supplies amid war. Kidney Int Rep 7(5):1136–1137. https://doi.org/10.1016/j.ekir.2022.02.024

    Article  PubMed  PubMed Central  Google Scholar 

  10. Berhe E, Ross W, Teka H, Abraha HE, Wall L (2022) Dialysis service in the embattled tigray region of Ethiopia: a call to action. Int J Nephrol 2022:8141548. https://doi.org/10.1155/2022/8141548

    Article  PubMed  PubMed Central  Google Scholar 

  11. Nourse P, Cullis B, Finkelstein F, Numanoglu A, Warady B, Antwi S, McCulloch M (2021) ISPD guidelines for peritoneal dialysis in acute kidney injury: 2020 Update (paediatrics). Perit Dial Int 41(2):139–157. https://doi.org/10.1177/0896860820982120

    Article  Google Scholar 

  12. Pina JS, Moghadam S, Cushner HM, Beilman GJ, McAlister VC (2010) In-theater peritoneal dialysis for combat-related renal failure. J Trauma 68(5):1253–1256. https://doi.org/10.1097/TA.0b013e3181d99089

    Article  PubMed  Google Scholar 

  13. Vasudevan A, Phadke K, Yap HK (2017) Peritoneal dialysis for the management of pediatric patients with acute kidney injury. Pediatr Nephrol 32(7):1145–1156. https://doi.org/10.1007/s00467-016-3482-6

    Article  PubMed  Google Scholar 

  14. Arimura Y, Muso E, Fujimoto S, Hasegawa M, Kaname S, Usui J, Ihara T, Kobayashi M, Itabashi M, Kitagawa K, Hirahashi J, Kimura K, Matsuo S (2016) Evidence-based clinical practice guidelines for rapidly progressive glomerulonephritis 2014. Clin Exp Nephrol 20(3):322–341. https://doi.org/10.1007/s10157-015-1218-8

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Acknowledgements

We acknowledge all the pediatric residents and pediatric intensive care unit nurses involved in the successful treatment of these two patients.

Funding

There is no funding available.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ephrem Berhe.

Ethics declarations

Conflict of interest

On behalf of all authors, the corresponding author states that there is no conflict of interest.

Consent to publish

The authors affirm that human research participants provided informed consent for the publication of the images in Fig. 2. The participant’s next of kin have consented to the submission of the case report to the journal. Patient’s next of kin signed informed consent regarding publishing their data and photographs.

Ethical approval

There is no need for approval for ethical clearance of case reports according to the Institutional Review Board of Mekelle University, College of health science.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Supplementary Information

Below is the link to the electronic supplementary material.

Supplementary file1 (DOCX 13 KB)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Gebrearegay, H., Berhe, E., Lema, H.H. et al. Improvised, emergency peritoneal dialysis in children with acute kidney injury amid war in Tigray, Northern Ethiopia: two teaching cases. J Nephrol 35, 2407–2410 (2022). https://doi.org/10.1007/s40620-022-01386-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40620-022-01386-x

Keywords

Navigation