18Feb 2021

QUELLES ETIOLOGIES POUR LINSUFFISANCE RENALE AIGUE DANS LE SERVICE DE NEPHROLOGIE DU CHU DE BRAZZAVILLE?

  • Nephrologue, Assistant hospitalo-universitaire Departement de Nephrologie et Dialyse du CHU-B., Faculte des Sciences de la Sante de lUniversite Marien NGOUABI de Brazzaville (Congo).
  • Medecin generaliste. Unite dhemodialyse du Cabinet des specialistes du plateau de 15 ans Brazzaville (Congo).
  • Nephrologue, Maitre de Conference Agrege. Departement de nephrologie et de dialyse du CHU-B. Faculte des Sciences de la Sante, Universite Marien NGOUABI de Brazzaville (Congo).
  • Cardiologue, professeur. Departement de cardiologie et de medecine interne du CHU-B. Faculte des Sciences de la Sante de lUniversite Marien NGOUABI de Brazzaville (Congo).
  • Nephrologue, professeur. Service de nephrologie et de dialyse du CHU-Hassan II de Fès. Faculte de medecine et de pharmacie de lUniversite Ben Sidi Abdellah de Fès (Maroc).
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Context: Acute kidney failure (AKI) is a sudden and reversible deterioration of kidney function. It is of various etiologies which are decisive for its management.

Goals: Determine the frequency of AKI  determine the types  the different stages and aetiologies of AKI in the nephrology service of the university hospital of Brazzaville(UHB).

Patients and Methods: This was a retrospective and descriptive study. We reviewed the files of patients hospitalized between January 1, 2016 and October 31, 2020 in the nephrology department of the UHB. Were included, patients aged at least 18 years with a discharge diagnosis of AKI. The study variables were socio-demographic data, stages  the type of AKI and the aetiologies.

Results: Out of 1,823 hospitalized patients, 244 were hospitalized for an AKI (13.38%), of which 164 had met the inclusion criteria. These were 60.2% boys and 39.8% women, with an average age of 47 ± 19 years. AKI was stage 3 in 69.5%. It was functional in 55.2% of cases with sepsis as the main cause (19.2%)  organic (36%) with the main cause of NTA (25.5%)  and obstructive in 8.7% of patients. Conclusion: In the nephrology department of the UHB, AKI preferentially affects young adult males. The severe form is common, functional AKI secondary to dehydration or sepsis is the main mechanism of occurrence.


[Daniel Tony Eyeni Sinomono, Celee Mavie Bouloupy-Malanga, Richard Moukengue Loumingou, Bertrand Fikahem Ellenga Mbolla and Tarik Sqalli Houssain (2021); QUELLES ETIOLOGIES POUR LINSUFFISANCE RENALE AIGUE DANS LE SERVICE DE NEPHROLOGIE DU CHU DE BRAZZAVILLE? Int. J. of Adv. Res. 9 (Feb). 250-255] (ISSN 2320-5407). www.journalijar.com


Daniel Tony Eyeni Sinomono
Néphrologue, Assistant hospitalo-universitaire ; Département de Néphrologie et Dialyse du CHU-B., Faculté des Sciences de la Santé de l'Université Marien NGOUABI de Brazzaville (Congo)
Congo

DOI:


Article DOI: 10.21474/IJAR01/12441      
DOI URL: https://dx.doi.org/10.21474/IJAR01/12441