African Journal of Internal Medicine

African Journal of Internal Medicine ISSN 2326-7283 Vol. 7 (1), pp. 526-530, January, 2019. © International Scholars Journals

Full Length Research Paper

Kidney failure in rural areas in Togo: A case of Saint Jean de Dieu Afagnan’s Hospital

Djagadou Kodjo Agbéko¹*, TchamdjaToyi², Balaka Abago¹, Nemi Komi Dzidzonu¹ Djalogue Liganimpo², Mossi Edem¹, Assane hamadi³, Tsevi Yawovi mawufemo⁴, Djibril Mohaman Awalou¹

¹Internal Medicine Service, CHU Sylvanus Olympio, University of Lomé

²Internal Medicine Service, CHU Kara, University of Kara.

⁴ Nephrology service, CHU Sylvanus Olympio, University of Lomé

³Departement of physiology, University of Lomé.

Corresponding author. Email: [email protected]. 0028 91 51 83 38

Accepted 13 December, 2018

Abstract 

To determine the epidemiological, clinical and developmental renal failure in a religious hospital in a rural area southeast of Togo, a retrospective descriptive study on the viewed patient records and / or hospitalized from 1 January 2007 to 31 December 2011 hospital Afagnan was conducted. A total of 203 cases of patients with renal impairment (22% had an IRA, 50% had CKD and 28% of undetermined) were collected. There was a male predominance with a sex ratio in renal failure 1.57. The average age of onset was 45 years in renal failure. The cause of kidney disease could not be determined in 40% of cases. Chronic kidney disease glomerular accounted for 29.41%. Acute tubular necrosis accounted for 57.9% of acute renal parenchymal. Overall mortality of renal failure was 33%. This study confirms the problem of renal failure in developing countries and especially in rural areas.

Keywords: Kidney failure, IRC-CKD, IRA-AKF, risk factors, rural areas, religious.