Problems with a Renal Replacement Programme in a Developing Country. Postgraduate Medical Journal 648 (56): 783-786, 1988
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Since August 1984 patients with end-stage renal disease in Kenya have been started on haemodialysis with a view to renal transplantation. In a two year period (August 1984-August 1986) 77 patients mean age 29.6 years (49 males), have been dialysed. The mean duration on dialysis prior to death or transplantation was 2.9 months (range 1 day to 11 months). Fifty patients (65%) died while on dialysis, including 2 who had had unsuccessful transplantation. Fourteen patients were still on dialysis, 11 had discharged themselves to peripheral hospitals for conservative management, and 2 had had successful renal transplantation. The possible causes of this abysmal experience include admission of critically ill patients, shortage of trained staff, over-dependence on arteriovenous shunts for vascular access, lack of centralization of patient management, recurrent shortage of essential equipment and reagents and a slow pace of transplantation.
CitationO, PROFMCLIGEYOSETH. 1988. McLigeyo S.O., Otieno L.S., Kinuthia D.M.W. Ongeri S.K., Mwongera F.K., Wairagu S.G.: Problems with a Renal Replacement Programme in a Developing Country. Postgraduate Medical Journal 648 (56): 783-786, 1988.. Postgraduate Medical Journal 648 (56): 783-786, 1988.. : University of Nairobi
Postgrad Med J. 1988 Oct;64(756):783-6.
University of Nairobi
- Faculty of Health Sciences (FHS)