Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • News & Views
  • Published:

PERITONEAL DIALYSIS

Local solutions save young lives

Peritoneal dialysis has many advantages over haemodialysis in the treatment of acute kidney injury (AKI) in low-resource settings. One limitation, however, is the availability of commercial dialysis fluid. Following the International Society of Peritoneal Dialysis AKI guidelines, a frontline hospital in Cameroon now shows that locally prepared fluids are safe and effective.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

References

  1. Hoste, E. A. J. et al. Global epidemiology and outcomes of acute kidney injury. Nat. Rev. Nephrol. 14, 607–625 (2018).

    Article  CAS  Google Scholar 

  2. Susantitaphong, P. et al. World incidence of AKI: a meta-analysis. Clin. J. Am. Soc. Nephrol. 8, 1482–1493 (2013).

    Article  Google Scholar 

  3. Mehta, R. L. et al. International Society of Nephrology’s 0by25 initiative for acute kidney injury (zero preventable deaths by 2025): a human rights case for nephrology. Lancet 385, 2616–2643 (2015).

    Article  Google Scholar 

  4. Smoyer, W. E. et al. “Saving Young Lives” with acute kidney injury: the challenge of acute dialysis in low-resource settings. Kidney Int. 89, 254–256 (2016).

    Article  Google Scholar 

  5. Cullis, B. et al. ISPD guidelines: peritoneal dialysis for acute kidney injury. Perit. Dial. Int. 34, 494–517 (2014).

    Article  CAS  Google Scholar 

  6. Palmer, D. et al. Peritoneal dialysis for AKI in Cameroon: commercial versus locally-made solutions. Perit. Dial. Int. 38, 246–250 (2018).

    Article  Google Scholar 

  7. Kilonzo, K. G. et al. Outcome of acute peritoneal dialysis in northern Tanzania. Perit. Dial. Int. 32, 261–266 (2012).

    Article  Google Scholar 

  8. Abdelraheem, M. et al. Outcome of acute kidney injury in Sudanese children — an experience from a Sub-Saharan African unit. Perit. Dial. Int. 34, 526–533 (2014).

    Article  Google Scholar 

  9. Palmer, D. Mbingo PD procedure. YouTube https://youtu.be/-pB7kPT4gfc (2017).

  10. Caskey, F. J. et al. Global variation in renal replacement therapy for end-stage renal disease. Nephrol. Dial. Transplant. 26, 2604–2610 (2011).

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Simon J. Davies.

Ethics declarations

Competing interests

S.J.D. is currently president of EuroPD and previous president of the International Society of Peritoneal Dialysis, organizations supporting Saving Young Lives.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Davies, S.J. Local solutions save young lives. Nat Rev Nephrol 15, 127–128 (2019). https://doi.org/10.1038/s41581-018-0109-0

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/s41581-018-0109-0

Search

Quick links

Nature Briefing

Sign up for the Nature Briefing newsletter — what matters in science, free to your inbox daily.

Get the most important science stories of the day, free in your inbox. Sign up for Nature Briefing