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PERITONEAL DIALYSIS

Local solutions save young lives

Nature Reviews Nephrology (2019) | Download Citation

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.

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References

  1. 1.

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

  2. 2.

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

  3. 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).

  4. 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).

  5. 5.

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

  6. 6.

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

  7. 7.

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

  8. 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).

  9. 9.

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

  10. 10.

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

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Author information

Affiliations

  1. Faculty of Medicine and Health Sciences, Keele University, Keele, Staffordshire, UK

    • Simon J. Davies

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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.

Corresponding author

Correspondence to Simon J. Davies.

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DOI

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

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