Goal: By describing the epidemiology of chronic hemodialysis patients in the single hemodialysis unit of Burkina Faso, we want to contribute to the prevention and improvement of chronic renal failure management (CRF) in this country. Patients and Methods: A descriptive cross-sectional study was conducted in the hemodialysis unit of the University Hospital Center Yalgado Ouedraogo (UHC-YO) during the period from February 12 to May 15, 2015. The patients who started hemodialysis in this unit and were treated for at least three months were included in this study. The sociodemographic and clinical data were collected. The statistical significance was defined for a probability (p ≤ 0.05). Results: One hundred and seventy-two patients (71.2% of the 240 patients of the unit) have been included. The sex ratio was 1.6. The average age was 45.2 ± 12.4 years old. The presumed causes of CRF have been identified in 134 cases (77.9%). The most frequent were hypertensive nephropathy (65 cases; 48.5%), chronic glomerulonephritis (41 cases; 30.6%; including 11 viral origin and 16 with history of recurrent otorhinolaryngologic infections and/or urinary schistosomiasis). Hemodialysis began in an emergency context in 118 cases (68.6%). The average duration of hemodialysis was 29.4 ± 28.4 months. Conclusion: The main suspected causes of CRF were hypertension and chronic glomerulonephritis. The origin of the latter seemed more often infectious. Prevention of CRF in Burkina Faso should be focused on that of hypertension and infectious diseases.
References
[1]
Grassmann, A., Gioberge, S., Moeller, S. and Brown, G. (2005) ESRD Patients in 2004: Global Overview of Patient Numbers, Treatment Modalities and Associated Trends. Nephrology Dialysis Transplantation, 20, 2587-2593. http://dx.doi.org/10.1093/ndt/gfi159
[2]
Naicker, S. (2009) End-Stage Renal Disease in Sub-Saharan Africa. Ethnicity & Disease, 19, 13-15.
[3]
Vanholder, R., Lameire, N., Annemans, L. and Van Biesen, W. (2015) Cost of Renal Replacement: How to Help as Many as Possible While Keeping Expenses Reasonable? Nephrology Dialysis Transplantation, Published Online.
[4]
El Matri, A. (2015) ESRD Management in Africa during the Last Decade. Clinical Nephrology, 83, 11-13. http://dx.doi.org/10.5414/CNP83S011
[5]
Touam, M., Orozco, R., Fumeron, C., Ganea, A., Drücke, T. and Grünfeld, J.-P. (2001) Refractory Ascites in Hemodialysis: Treatment by Puncture-Reinjection during Dialysis. Nephrology, 22, 25-28.
[6]
Pei, Y., Obaji, J., Dupuis, A., Paterson, A.D., Magistroni, R., Dicks, E., et al. (2009) Unified Criteria for Ultrasonographic Diagnosis of ADPKD. Journal of the American Society of Nephrology, 20, 205-212. http://dx.doi.org/10.1681/ASN.2008050507
[7]
Lassalle, M., Ayav, C., Frimat, L., Jacquelinet, C. and Couchoud, C. (2015) au nom du Registre REIN. The Essential of 2012 Results from the French Renal Epidemiology and Information Network (REIN) ESRD Registry. Néphrologie & Thérapeutique, 11, 78-87. http://dx.doi.org/10.1016/j.nephro.2014.08.002
[8]
Kabbali, N., S Mikou El Pardiya, N., El Bardai, G., Arrayhani, M. and Houssaini, T.S. (2014) Profile of Chronic Hemodialysis in Diabetics: Multicentric Study in Morocco. The Pan African Medical Journal, 17, 125.
[9]
Banaga, A.S.I., Mohammed, E.B., Siddig, R.M., Salama, D.E., Elbashir, S.B., Khojali, M.O., et al. (2015) Causes of End Stage Renal Failure among Haemodialysis Patients in Khartoum State/Sudan. BMC Research Notes, 8, 502. http://dx.doi.org/10.1186/s13104-015-1509-x
[10]
Okunola, Y., Ayodele, O., Akinwusi, P., Gbadegesin, B. and Oluyombo, R. (2013) Haemodialysis Practice in a Resource-Limited Setting in the Tropics. Ghana Medical Journal, 47, 4-9.
[11]
Ekrikpo, U.E., Udo, A.I., Ikpeme, E.E. and Effa, E.E. (2011) Haemodialysis in an Emerging Centre in a Developing Country: A Two Year Review and Predictors of Mortality. BMC Nephrology, 12, 50. http://dx.doi.org/10.1186/1471-2369-12-50
[12]
Seck, S.M., Elhadj, F.K., Fall, S., Cissé, M.M., Dia, D., Guèye, S., et al. (2008) Adherence to Therapy in Sub-Saharan Non-Dialysed Patients with Chronic Kidney Diseases. Néphrologie & Thérapeutique, 4, 325-329. http://dx.doi.org/10.1016/j.nephro.2008.02.004
[13]
Diouf, B., Ka, E.F., Niang, A., Diouf, M.L., Mbengue, M. and Diop, T.M. (2000) Etiologies of Chronic Renal Insufficiency in an Adult Internal Medicine Service in Dakar. Dakar Medical, 45, 62-65.
[14]
Arogundade, F., Sanusi, A., Hassan, M. and Akinsola, A. (2011) The Pattern, Clinical Characteristics and Outcome of ESRD in Ile-Ife, Nigeria: Is There a Change in Trend? African Health Sciences, 11, 594-601.
[15]
Amoako, Y.A., Laryea, D.O., Bedu-Addo, G., Andoh, H. and Awuku, Y.A. (2014) Clinical and Demographic Characteristics of Chronic Kidney Disease Patients in a Tertiary Facility in Ghana. The Pan African Medical Journal, 18, 274.
[16]
Lingani, A., Coulibaly, G., Laville, M. and Zech, P. (1997) Epidemiology of Severe Chronic Renal Insufficiency in Burkina Faso. Santé, 7, 379-383.
[17]
Madala, N.D., Thusi, G.P., Assounga, A.G. and Naicker, S. (2014) Characteristics of South African Patients Presenting with Kidney Disease in Rural KwaZulu-Natal: A Cross Sectional Study. BMC Nephrology, 15, 61. http://dx.doi.org/10.1186/1471-2369-15-61
[18]
Jin, D.C., Yun, S.R., Lee, S.W., Han, S.W., Kim, W., Park, J., et al. (2015) Lessons from 30 Years’ Data of Korean End-Stage Renal Disease Registry, 1985-2015. Kidney Research and Clinical Practice, 34, 132-139. http://dx.doi.org/10.1016/j.krcp.2015.08.004
[19]
Seck, S.M., Doupa, D., Gueye, L. and Dia, C.A. (2014) Prevalence of Chronic Kidney Disease and Associated Factors in Senegalese Populations: A Community-Based Study in Saint-Louis. Nephro-Urology Monthly, 6, e19085.
[20]
Halle, M.P., Takongue, C., Kengne, A.P., Kaze, F.F. and Ngu, K.B. (2015) Epidemiological Profile of Patients with End Stage Renal Disease in a Referral Hospital in Cameroon. BMC Nephrology, 16, 59. http://dx.doi.org/10.1186/s12882-015-0044-2
[21]
Sanogo, A. (2015) Study of Vascular Access in Hemodialysis in the Nephrology Department of the National Hospital of Point G in Mali. Thesis Medicine, No. 56, University of Mali, Bamako, 2005-2006 Academic Year, 89 p.
[22]
Kolko, A., Dueymes, J.M., Couchoud, C. and registre du REIN (2013) Baseline Characteristics and Indicators of Support for New Dialysis Patients in 2011. Néphrologie & Thérapeutique, 9, S65-S94. http://dx.doi.org/10.1016/S1769-7255(13)70040-3
[23]
Souro, S.O. (2011) Arteriovenous Fistulas in Chronic Hemodialysis Patients at the UHC-YO: About 75 Cases. Thesis Medicine, No. 046, University of Ouagadougou, Ouagadougou, 2010-2011 Academic Year, 64 p.
[24]
Oubda, N.R. (2014) Epidemiological and Evolutionary Aspects of the Native Radial Arteriovenous Fistulas for Chronic Hemodialysis at the UHC-YO. Thesis Medicine, No. 043, University of Ouagadougou, Ouagadougou, 2013-2014 Academic Year, 75 p.
