Related Experiment Video
Updated: May 15, 2026
06:27
A Retrograde Implantation Approach for Peritoneal Dialysis Catheter Placement in Mice
Published on: July 20, 2022
Paediatric dialysis services in Nigeria: availability, distribution and challenges
C I Esezobor1, O Oniyangi, F Eke
1Department of Paediatrics, College of Medicine, University of Lagos, PMB 12003, Lagos, Nigeria.
West African Journal of Medicine
|January 12, 2013
Summary
Paediatric dialysis services (PDS) are unavailable in about half of Nigerian hospitals. Haemodialysis is the most common treatment, with large hospitals offering PDS facing challenges like lack of consumables and high costs.
Area of Science:
- Nephrology
- Paediatric Nephrology
- Public Health
Background:
- Renal failure complications are managed with dialysis.
- Paediatric dialysis services (PDS) in Nigeria are not well-documented.
- Understanding PDS availability and challenges is crucial for improving child healthcare.
Purpose of the Study:
- To determine the availability and distribution of paediatric dialysis services in Nigeria.
- To identify the characteristics of hospitals providing PDS.
- To explore the challenges faced by PDS in Nigeria.
Main Methods:
- A questionnaire survey was distributed to federal government-funded tertiary hospitals across Nigeria.
- Hospitals providing PDS were compared with those not providing PDS.
- Data on hospital characteristics, dialysis modalities, and challenges were collected.
Main Results:
- 16 out of 34 participating tertiary hospitals (47.1%) offered PDS.
- Haemodialysis (HD) was the most common modality, with 9 hospitals offering both HD and peritoneal dialysis (PD).
- Teaching hospitals with more paediatricians and adult dialysis services were more likely to offer PDS; common challenges included lack of consumables, skilled staff, and high costs.
Conclusions:
- Paediatric dialysis services are inaccessible in approximately half of Nigerian tertiary hospitals.
- Larger hospitals, particularly teaching hospitals, are more likely to provide PDS.
- Significant challenges, including resource limitations and cost, hinder the provision of PDS in Nigeria.
Related Concept Videos
01:25Hemodialysis I: Introduction
Hemodialysis (HD) is a medical treatment that artificially removes waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions effectively. In this process, blood is filtered through a semipermeable membrane, allowing for the selective removal of waste while preserving necessary components like blood cells and proteins. Hemodialysis is typically performed in patients with end-stage renal disease (ESRD) or severe kidney...
01:25Peritoneal Dialysis III: Nursing Management
Peritoneal dialysis, or PD, utilizes the peritoneal membrane as a filter to eliminate excess fluid and waste products. Effective nursing management is essential for ensuring patient safety, preventing complications, and promoting optimal function of the peritoneal dialysis process.Assessment and MonitoringNurses must thoroughly assess the patient before, during, and after each dialysis session. Regular monitoring includes vital signs, daily weight, fluid intake and output, and laboratory values...
01:27Dialysis
Renal failure occurs when the kidneys lose their ability to filter waste products from the blood effectively. It can be classified into two types: acute renal failure (ARF) and chronic renal failure (CRF).
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
01:15Dialysis
Dialysis is a diffusion-based purification process that separates analyte molecules from a complex matrix. This is accomplished by allowing molecules in the solution to pass through a semipermeable membrane into a liquid on the other side. The membrane is usually made of cellulose acetate or cellulose nitrate, and the second liquid must be miscible with the solution. Ions (e.g., chloride or sodium) or organic molecules (e.g., glucose) can pass through the membrane pores, which generally have...
01:24Hemodialysis II: Procedure and Complications
DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...
01:26Pharmacokinetics in Pediatric Patients: Drug Excretion
In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...