Case report demonstrates significant improvement in acute kidney injury using locally available peritoneal dialysis, highlighting treatment accessibility.
Acute kidney injury is a potentially fatal condition, particularly in low-resource settings, where access to renal replacement therapy is limited. This creates a problem of accessibility to healthcare for many patients living in low-resource settings. A 10-year-old boy in rural Ghana presented with anuria, edema, hypertension, and seizures, and severely elevated creatinine and urea levels were measured. Local peritoneal dialysis was started on Day 4 of admission, and the patient showed significant improvement. This report shows the effectiveness including subsequent laboratory results of locally made peritoneal dialysis and gives a detailed description on how to locally make dialysis fluids and how to perform peritoneal dialysis in a low-resource setting.
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Niels Jig Jansen (2025) studied this question.
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