Paediatric Nephrology in Africa
Purpose of Review We highlight the unique facets of paediatric nephrology in Africa in terms of the spectrum of kidney diseases, available diagnostic and treatment modalities, kidney healthcare financing options, paediatric nephrology manpower and the contribution of geography and demographics. Rece...
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| Published in | Current pediatrics reports (Philadelphia, PA) Vol. 9; no. 4; pp. 134 - 141 |
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| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
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New York
Springer US
2021
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| Subjects | |
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| Abstract | Purpose of Review
We highlight the unique facets of paediatric nephrology in Africa in terms of the spectrum of kidney diseases, available diagnostic and treatment modalities, kidney healthcare financing options, paediatric nephrology manpower and the contribution of geography and demographics.
Recent Findings
Paediatric acute kidney injury in Africa is now commonly due to sepsis rather than gastroenteritis. Steroid-sensitive form of nephrotic syndrome is far more common than was two decades ago.
Summary
The hot arid climate in North Africa and the tropical climate in most of sub-Saharan Africa, and the high rate of consanguinity, sickle cell disease and HIV drive the spectrum of paediatric kidney diseases in the continent. Kidney diseases are often precipitated by infectious triggers associated with poor living conditions and little access to medical care thus resulting in late presentation and often end-stage kidney disease. Although accessibility to kidney care has improved in the continent due to training opportunities provided by international professional organisations, most children still face significant barriers to kidney care because they live in rural areas, governments spend the least on healthcare and the continent has the least density of healthcare practitioners and nephrology trainees. |
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| AbstractList | We highlight the unique facets of paediatric nephrology in Africa in terms of the spectrum of kidney diseases, available diagnostic and treatment modalities, kidney healthcare financing options, paediatric nephrology manpower and the contribution of geography and demographics.
Paediatric acute kidney injury in Africa is now commonly due to sepsis rather than gastroenteritis. Steroid-sensitive form of nephrotic syndrome is far more common than was two decades ago.
The hot arid climate in North Africa and the tropical climate in most of sub-Saharan Africa, and the high rate of consanguinity, sickle cell disease and HIV drive the spectrum of paediatric kidney diseases in the continent. Kidney diseases are often precipitated by infectious triggers associated with poor living conditions and little access to medical care thus resulting in late presentation and often end-stage kidney disease. Although accessibility to kidney care has improved in the continent due to training opportunities provided by international professional organisations, most children still face significant barriers to kidney care because they live in rural areas, governments spend the least on healthcare and the continent has the least density of healthcare practitioners and nephrology trainees. Purpose of Review We highlight the unique facets of paediatric nephrology in Africa in terms of the spectrum of kidney diseases, available diagnostic and treatment modalities, kidney healthcare financing options, paediatric nephrology manpower and the contribution of geography and demographics. Recent Findings Paediatric acute kidney injury in Africa is now commonly due to sepsis rather than gastroenteritis. Steroid-sensitive form of nephrotic syndrome is far more common than was two decades ago. Summary The hot arid climate in North Africa and the tropical climate in most of sub-Saharan Africa, and the high rate of consanguinity, sickle cell disease and HIV drive the spectrum of paediatric kidney diseases in the continent. Kidney diseases are often precipitated by infectious triggers associated with poor living conditions and little access to medical care thus resulting in late presentation and often end-stage kidney disease. Although accessibility to kidney care has improved in the continent due to training opportunities provided by international professional organisations, most children still face significant barriers to kidney care because they live in rural areas, governments spend the least on healthcare and the continent has the least density of healthcare practitioners and nephrology trainees. PURPOSE OF REVIEWWe highlight the unique facets of paediatric nephrology in Africa in terms of the spectrum of kidney diseases, available diagnostic and treatment modalities, kidney healthcare financing options, paediatric nephrology manpower and the contribution of geography and demographics.RECENT FINDINGSPaediatric acute kidney injury in Africa is now commonly due to sepsis rather than gastroenteritis. Steroid-sensitive form of nephrotic syndrome is far more common than was two decades ago.SUMMARYThe hot arid climate in North Africa and the tropical climate in most of sub-Saharan Africa, and the high rate of consanguinity, sickle cell disease and HIV drive the spectrum of paediatric kidney diseases in the continent. Kidney diseases are often precipitated by infectious triggers associated with poor living conditions and little access to medical care thus resulting in late presentation and often end-stage kidney disease. Although accessibility to kidney care has improved in the continent due to training opportunities provided by international professional organisations, most children still face significant barriers to kidney care because they live in rural areas, governments spend the least on healthcare and the continent has the least density of healthcare practitioners and nephrology trainees. |
| Author | Alakaloko, Adebimpe E. Ellidir, Rashid Admani, Bashir McCulloch, Mignon I. Nourse, Peter Esezobor, Christopher I. |
| Author_xml | – sequence: 1 givenname: Christopher I. surname: Esezobor fullname: Esezobor, Christopher I. email: esezobor@gmail.com organization: Department of Paediatrics, Faculty of Clinical Sciences, College of Medicine, University of Lagos, Department of Paediatrics, Lagos University Teaching Hospital – sequence: 2 givenname: Adebimpe E. surname: Alakaloko fullname: Alakaloko, Adebimpe E. organization: Department of Paediatrics, Lagos University Teaching Hospital – sequence: 3 givenname: Bashir surname: Admani fullname: Admani, Bashir organization: Department of Paediatrics and Child Health, College of Health Sciences, University of Nairobi – sequence: 4 givenname: Rashid surname: Ellidir fullname: Ellidir, Rashid organization: Department of Pediatric Nephrology, Noura Children Center for Kidney Disease and Transplantation, Soba University Hospital, Multi Organ Transplant Centre (MOTC), Paediatric Nephrology Department, King Fahad Specialist Hospital – sequence: 5 givenname: Peter surname: Nourse fullname: Nourse, Peter organization: Depatment of Pediatric Nephrology, Red Cross War Memorial Children’s Hospital, University of Cape Town – sequence: 6 givenname: Mignon I. surname: McCulloch fullname: McCulloch, Mignon I. organization: Depatment of Pediatric Nephrology, Red Cross War Memorial Children’s Hospital, University of Cape Town |
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| Issue | 4 |
| Keywords | Nephrotic syndrome HIV Malaria Sickle cell disease Acute kidney injury Kidney transplantation |
| Language | English |
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World malaria report (256_CR14) 2020 WE Smoyer (256_CR55) 2016; 89 A Loua (256_CR44) 2020; 98 WA Olowu (256_CR20) 2016; 4 256_CR51 AO Asinobi (256_CR22) 2014; 15 256_CR13 256_CR57 256_CR56 256_CR59 CI Esezobor (256_CR12) 2015; 61 R Bhimma (256_CR36) 2008; 23 256_CR58 256_CR52 256_CR54 CL Ranabhat (256_CR68) 2018; 9 OO Adelowo (256_CR34) 2017; 26 AJ Orumuah (256_CR26) 2015; 12 S Antwi (256_CR6) 2013; 28 TM el Ali (256_CR35) 2009; 24 TM el Ali (256_CR5) 2012; 12 256_CR8 FI Fadel (256_CR10) 2021 256_CR40 256_CR4 256_CR3 EP Owen (256_CR9) 2015; 30 ZA Bhutta (256_CR66) 2013; 382 GJ Pitcher (256_CR38) 2006; 10 256_CR46 256_CR45 256_CR2 256_CR48 256_CR1 256_CR47 FF Kaze (256_CR29) 2013; 6 256_CR28 TA Ladapo (256_CR7) 2014; 25 AT Orunmuyi (256_CR50) 2020; 14 M Nyagetuba (256_CR25) 2016; 13 DC Harris (256_CR53) 2012; 2 J Pryce (256_CR65) 2018; 11 UH Okafor (256_CR49) 2017; 18 H Safouh (256_CR39) 2015; 26 LB Lewandowski (256_CR33) 2017; 26 256_CR31 256_CR30 SA Medani (256_CR17) 2014; 14 F Fredrick (256_CR27) 2016; 17 256_CR16 256_CR18 WA Olowu (256_CR32) 2017; 37 S Antwi (256_CR43) 2015; 39 AL Conroy (256_CR15) 2016; 3 256_CR60 256_CR62 256_CR61 MI McCulloch (256_CR37) 2006; 96 D Alaro (256_CR19) 2014; 14 256_CR24 CI Esezobor (256_CR42) 2012; 31 256_CR23 256_CR67 CI Esezobor (256_CR41) 2014; 34 256_CR64 WA Anwar (256_CR11) 2014; 24 256_CR63 256_CR21 |
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We highlight the unique facets of paediatric nephrology in Africa in terms of the spectrum of kidney diseases, available diagnostic and... We highlight the unique facets of paediatric nephrology in Africa in terms of the spectrum of kidney diseases, available diagnostic and treatment modalities,... PURPOSE OF REVIEWWe highlight the unique facets of paediatric nephrology in Africa in terms of the spectrum of kidney diseases, available diagnostic and... |
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| Title | Paediatric Nephrology in Africa |
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