Overview of Paediatric Renal Care Activities and Availability of Renal Replacement Therapy for Children at Mulago Hospital, Uganda
Odiit Amos*, 1, Kalyesubula Robert 2, Atukunda Peace 3, Nabacwa Oliver 3, Eyoku S.P4, Kiguli Sarah 1
1 Department of Paediatrics & Child Health, Faculty of Medicine, National University of Rwanda, P.O. BOX 117, Butare, Rwanda
2 Department of Internal Medicine Makerere University, College of Health Sciences, P.O. BOX 7072, Kampala, Uganda
3 Department of Nursing, Mulago National Referral and Teaching Hospital, P.O. BOX 7051, Kampala, Uganda
4 Department of Internal Medicine, Mulago National Referral and Teaching Hospital, P.O. BOX 7051, Kampala, Uganda
The range of activities undertaken by any renal team will depend on many factors. One of the common challenges encountered in Mulago hospital is management of kidney failure in a child.
to outline activities of the renal team with specific reference to RRT.
members of the renal team were interviewed for their activities, and ward records spanning a period of 3 years were reviewed, for information on children who had had RRT.
activities of the renal team included: training, sensitization of the public, research, and nursing care of patients on dialysis. Nineteen (19) children had had RRT, fourteen (14) had been put on PD; 4 on Haemodialysis (HD); and 1 child had a kidney transplant in India. All children with Acute Tubular Necrosis recovered normal kidney functions by the end of RRT; 3 out of the 4 children with rapidly progressive Glomerulonephritis progressed to CKD.
Renal Replacement Therapy for children is happening at a very low level. The renal team is engaged predominantly in conservative management of kidney failure and in preventive activities.
Keywords: In a resource poor country, renal care for children..
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* Address correspondence to this author at the Department of Paediatrics & Child Health; Faculty of Medicine; National University of Rwanda,
P.O. BOX 117, Butare, Rwanda; Tel: 256 025641 454 1589; E-mail: email@example.com