Abstract
Objectives: The aim of our work was to identify the etiologies of chronic renal failure in adolescent patients. Patients and Methods: This is a descriptive cross-sectional retrospective study that included adolescents aged 10 to 19 years hospitalized between January 2014 and December 2017 in the department of nephrology at the University Hospital of Brazzaville. The CRF was defined according to the ANAES criteria by an estimated glomerular filtration rate less than 60 ml/min/ 1.73 m2 of body surface. Results: Forty cases of CRF were collected, representing a prevalence of 4.9%. The average age was 16.32 ± 3.64 years and the sex ratio was 3. The most common mode of discovery was edematous syndrome 62.5%. The most common etiology was glomerular nephropathies 60%, hereditary nephropathies 25% and malformative uropathies in 15%. Ten patients (25%) had moderate CFR at admission, 62.5% had severe CRF, 12.5% had terminal CFR and all of them died during the year. Conclusion: Epidemiological data CRF in adolescent patients in developing countries are scarce and limit treatment. Glomerular pathologies represent the most frequent etiology. Early treatment of chronic renal failure in childhood and multidisciplinary collaboration between pediatrician and nephrologist are necessary.
Highlights
The aim of our work was to identify the etiologies of chronic renal failure in adolescent patients
Patients and Methods: This is a descriptive cross-sectional retrospective study that included adolescents aged 10 to 19 years hospitalized between January 2014 and December 2017 in the department of nephrology at the University Hospital of Brazzaville
In order to optimize prevention and care in our work environment, we report a hospital series of 40 adolescents; the objective being to list the etiologies
Summary
(GFR) of less than 60 ml/min/1.73 m2 of body surface evolving for more than 3 months [1]. Its incidence differs according to the country, the age of the child and the stage of development [3]. European epidemiological studies report an incidence varying from 6 to 22 new cases/million inhabitants/year and a prevalence of 55 to 75 per million children of the same age [4] [5] [6] [7]. In Africa, few studies have been devoted to chronic renal failure in children. In Congo, data on chronic kidney disease in children have not been found
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