[Etiological and evolving profile of renal disability of children in hospital in Togo].

Autor: Akolly DAE; Service de pédiatrie, CHU Sylvanus Olympio de Lomé, université de Lomé, Lomé, Togo. Electronic address: elianeakolly@yahoo.fr., Tsevi YM; Service de néphrologie/hémodialyse, CHU Sylvanus Olympio de Lomé, université de Lomé, Lomé, Togo., Djadou EK; Service de pédiatrie, CHU Sylvanus Olympio de Lomé, université de Lomé, Lomé, Togo., Guedenon KM; Service de pédiatrie, CHU Sylvanus Olympio de Lomé, université de Lomé, Lomé, Togo., Amekoudi EYM; Service de néphrologie/hémodialyse, CHU Sylvanus Olympio de Lomé, université de Lomé, Lomé, Togo., Tsolenyanu E; Service de pédiatrie, CHU Sylvanus Olympio de Lomé, université de Lomé, Lomé, Togo., Agbeko F; Service de pédiatrie, CHU Sylvanus Olympio de Lomé, université de Lomé, Lomé, Togo., Takassi EO; Service de pédiatrie, CHU Sylvanus Olympio de Lomé, université de Lomé, Lomé, Togo., Gbadoe AD; Service de pédiatrie, CHU Sylvanus Olympio de Lomé, université de Lomé, Lomé, Togo., Atakouma Y; Service de pédiatrie, CHU Sylvanus Olympio de Lomé, université de Lomé, Lomé, Togo.
Jazyk: francouzština
Zdroj: Nephrologie & therapeutique [Nephrol Ther] 2019 Nov; Vol. 15 (6), pp. 448-451. Date of Electronic Publication: 2019 Jul 31.
DOI: 10.1016/j.nephro.2019.01.006
Abstrakt: Objective: To determine the etiological and evolutionary profile of renal failure of chidren in Togo.
Methods: This is a cross-sectional study over the period of 12 months (2016-2017) including children aged 1 to 18 years hospitalized in the pediatric ward of Sylvanus Olympio university teaching hospital of Lome (Togo) for renal failure.
Results: Of 2374 patients hospitalized in our unit, 58 (2.4%) had renal failure. The mean age was 8.17±4 years with a sex ratio of 1.32. The average consultation time was 11.9 days. The mean duration of hospitalization was 12.7±7.7 days. Thirty-seven patients (63.8%) were referred from a peripheral center. Thirty-seven children out of 58 (63.1%) were oligoanuric. Renal failure was acute in 94.8% and chronic in 5.2%. Anemia was found in 84.4% of children. The main etiologies found were severe malaria (63.8%), glomerulonephritis (10.3%) and nephrotic syndrome (10.3%). Thirteen children (22.4%) benefited from dialysis sessions. The evolution was favorable in 79.3% of the cases.
Conclusion: The renal failure of child is relatively common in our daily practice. The low socio-economic level and the lack of adapted equipment make the care difficult.
(Copyright © 2019 Société francophone de néphrologie, dialyse et transplantation. Published by Elsevier Masson SAS. All rights reserved.)
Databáze: MEDLINE
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