Abstract
IntroductionPeritoneal dialysis is a form of renal replacement therapy that is both effective and relatively affordable. Peritoneal dialysis (PD) was first used in Nigeria as a treatment option for renal failure. Its use was first reported in Nigeria in 1969 and became more widespread in the 80s and 90s. Haemodialysis, which is capital intensive to set up and requires infrastructures and facilities such as electricity, intense water consumption and buildings, seems to have upstaged peritoneal dialysis both in demand and supply.MethodsThis cross-sectional study is a convenient survey of nephrologists, renal technicians and nurses in Nigeria. We used a structured, self-administered questionnaire on a cross-section of members and associate members attending a national nephrology association meeting.ResultsThere were 68(54.4%) doctors, 43(27.2%) nurses, and 14(11.2%) renal technicians, all from medical institutions with renal treatment programs who participated in the study. The most common problems encountered with PD use are financial constraints (51.7%), inadequate fluid supply (50%), frequent line blockage (22.4%) and frequent infections (17.2%). Reasons attributed to the stoppage of PD in the centres included lack of PD fluids (50.8%), unavailability of PD catheters (22.8%), lack of expert personnel to train (15.8%).ConclusionMain challenges to peritoneal dialysis use in Nigeria include limited experience and training and availability and cost of consumables. Effort to overcome the factors militating against its use should be positively pursued so that peritoneal dialysis will be re-integrated into the mainstream of renal replacement therapy once more.
Highlights
Peritoneal dialysis is a form of renal replacement therapy that is both effective and relatively affordable
CCPD has been least utilized as a modality of peritoneal dialysis (8.0%) (Table 2 and Table 3)
Fifty-eight (46.4%) respondents indicated that Peritoneal dialysis (PD) had been in use in their centres for renal failure treatment, while the rest claimed it had never been used
Summary
Peritoneal dialysis is a form of renal replacement therapy that is both effective and relatively affordable. It is especially useful in patients who have hemodynamic instability in whom haemodialysis may be a challenge. Peritoneal dialysis (PD) was first used in Nigeria in as a treatment option for renal failure. The most utilized form of peritoneal dialysis was the intermittent form for acute dialysis, usually for patients with acute renal failure. It was easy to do and was usually done in the hospital. Added to this was the fact that it was relatively cheap because there were many vendors marketing consumables. In Nigeria peritoneal dialysis and catheter fluids were being manufactured and widely distributed in the past
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