Ekpenyong EE¹, Ikpeme EE² and Oloyede IP³*

¹Lecturer One and Honourary Consultant, Department of Paediatrics, University of Uyo/University of Uyo Teaching Hospital, Uyo, Akwa Ibom State Nigeria
²Professor and Honourary Chief Consultant, Department of Paediatrics, University of Uyo/University of Uyo Teaching Hospital, Uyo, Akwa Ibom State, Nigeria
³Senior Lecturer and Honourary Chief Consultant, Department of Paediatrics, University of Uyo Teaching Hospital, Uyo, Akwa Ibom State, Nigeria

*Corresponding Author: Oloyede IP, Senior Lecturer and Honourary Chief Consultant, Department of Paediatrics, University of Uyo Teaching Hospital, Uyo, Akwa Ibom State, Nigeria.

Received: September 22, 2022; Published: October 13, 2022

Abstract

Background: Chronic kidney disease (CKD) in children has an increasing incidence globally. Most children in developing countries present in End Stage Renal Disease (ESRD) where Renal Replacement Therapy (RRT) is required for survival. Late presentation, unavailability of donors and highly specialised teams for Renal transplantation, dialysis back up, poor physical and legal infrastructure and cultural bias against organ donation pose huge challenges to the management of CKD in Nigerian children.

Objectives: The aim is to highlight the challenges faced with the management of CKD in children in a tertiary centre in southern Nigeria.

Methods: A retrospective study in which data of all children managed for CKD in UUTH over a 10year period (January 2012- November 2021) was reviewed highlighting the stage of CKD at presentation and challenges encountered in the management of these patients.

Results: CKD accounted for 16% of the renal diseases (232) and 0.67% of all admissions (5787) into the children’s ward during the study period. Seventy nine percent of the patients presented in stage 5 of the disease. Sixty seven percent of the CKD patients Left Against Medical Advice (LAMA), while 23% died. None of the patients had adequate dialysis or regular monitoring of biochemical parameters due to poor finances. Renal biopsy was not carried out in any CKD patient.

Conclusion: Late presentation, high cost of haemodialysis, lack of diagnostic facilities and nonavailability of Noncommunicable Diseases Prevention Programmes are the main challenges faced in this centre. Preventive measures, RRT subsidies and universal health insurance are recommended to reduce the prevalence and morbidities/mortalities of CKD.

Keywords: Challenges; Management; Chronic Kidney Disease; Children; Nigeria

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Citation

Citation: Oloyede IP., et al. “Challenges of Management of Chronic Kidney Disease in a Single Centre in Southern Nigeria". Acta Scientific Paediatrics 5.11 (2022): 12-16.

Copyright

Copyright: © 2022 Oloyede IP., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.