The acute renal insufficiency in medical reanimation at Lomé.

Abstract


Balaka Abago, Djagadou Kodjo Agéko,Tchamdja Toyi*, Assane Hamadi , Némi Komi Dzidzonu, Djibril Mohaman Awalou

The objective of this study was to investigate the profile of acute renal insufficiency in medical reanimation. It was a retrospective and analytical study which took place from 1 January 2011 to 31 December 2012 at the medical recovery room of the Sylvanus Olympio Teaching Hospital in Lomé. All patients with a minimum of a plasma creatinine ≥ 150 umol / l and / or blood urea ≥ 10 mmol / l were included in this study. During our period of study, 1295 patients were admitted into the medical reanimation of the Sylvanus Olympio Teaching Hospital (CHU) in Lomé and 53 patients had met our inclusion criteria and were the subject of this study. Our patients were most admitted for dyspnea (42.3%), headache (25%). The average creatinine was 138.5mg / l with extremes of 15mg / l and 262mg / l. Fifty patients (94,34%) were suffering from stage I renal pains. The main etiologies of renal insufficiency were HIV (45,2%) malaria (30,2%). ARI are frequent in the medical recovery at the Sylvanus Olympio Teaching Hospital of Lomé. Plasmodium falciparum malaria and HIV are the major causes.

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