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World Kidney Day – Don’t Forget The Children

机译:世界肾脏日–不要忘记孩子

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BACKGROUND: World Kidney Day (WKD) is an annual global campaign meant to raise awareness about the importance of kidneys and reduce the frequency and impact of kidney disease but the focus is usually on adults and not children. This is a report of screening of children during WKD 2011 in Giwa, a semiurban community in Nigeria. METHODOLOGY: The importance of screening was communicated through talks, songs and plays. Blood pressure (BP), weight and height were measured and dipstick urinalysis done. Proteinuria, hematuria, glycosuria and nitrituria were defined as 1+ or more, hypertension as BP greater than 95% for age, gender, and height. RESULTS: A total of 115 children (3 to 15 years, mean 9.97±3 years) participated; 93(80.8%) were male, 89(77.4%) were students. Six (6.4%) of 94 children whose BP were measured were hypertensive. Proteinuria, haematuria, glycosuria was detected in 3(2.7%), 2(1.8%) and 16(14.9%) respectively of 107 children. No child had nitrituria. Only one child went to the tertiary centre for follow up.CONCLUSION: Mass screening for hypertension, proteinuria, haematuria, glycosuria may be worthwhile but not for urinary tract infection. Data collected during WKD on a national scale could help determinate the cost benefit of screening and contribute to development of national screening policies in resource constrained countries. WKD offers opportunities to screen children who might otherwise be missed (e.g. those who don’t attend school and/or in rural areas). Greater effort must be made to follow up those with abnormalities. This could be done by evaluating them in local health centres. Disclosures Financial support : The study was part funded by Ahmadu Bello University Teaching Hospital, Shika-Zaria, Nigeria Introduction World Kidney Day (WKD) is an annual global health campaign initiated in 2006 by the International Society of Nephrology and the International Federation of Kidney Foundations [1]. Its purpose is to raise awareness about the importance of kidneys to health and reduce the frequency and impact of kidney disease and its associated problems. This is because increasing numbers of people are being affected by Chronic kidney disease (CKD) which is a strong risk factor for development of cardiovascular disease, the leading cause of mortality worldwide [1-5]. WKD has become a strong tool for advocacy to government officials, healthcare providers and the general public but in most countries, the focus is on adults and not children [6]. Although some organizations involve children in educational activities, few include them in the screening programmes of WKD [7]. Yet renal disease is a significant cause of morbidity in children worldwide [8]. Estimates of CKD in many resource constrained countries are difficult to obtain because of the lack of renal registries [9]. In Nigeria, (the most populous nation in Sub-Saharan Africa), the incidence of CKD is estimated to occur in 7.5 children per million of the childhood population [10]. These are probably underestimates as they exclude children who have no access to hospital care. Unfortunately renal disease often goes undetected until the patient presents in End Stage Renal Disease (ESRD) [9, 10]. This results in devastating social and financial consequences for the patients and their families as facilities for renal replacement therapy are limited, and too expensive for the majority of patients [3, 10]. Many Nigerian nephrologists recommend screening so as to detect kidney disease early and prevent or slow down progression to ESRD [11-13]. This is necessary because the general public has little awareness about kidney disease [14] and some people even use urine as treatment for illness [15]. WKD offers opportunities to educate communities which have little awareness about kidney disease and screen them for it. During the 2011 WKD, staff of Ahmadu Bello University Teaching Hospital (ABUTH) Zaria, Nigeria carried out public enlightenment talks and screening of ad
机译:背景:世界肾脏日(WKD)是一项年度全球运动,旨在提高人们对肾脏重要性的认识,减少肾脏疾病的发生频率和影响,但重点通常是成年人,而不是儿童。这是在尼日利亚的一个半城市社区吉瓦(Giwa)2011年WKD期间对儿童进行筛查的报告。方法:通过谈话,歌曲和戏剧传达筛选的重要性。测量血压(BP),体重和身高,并进行试纸尿液分析。蛋白尿,血尿,糖尿和硝酸盐被定义为1+或更高,高血压是指年龄,性别和身高的BP大于95%。结果:总共115名儿童(3至15岁,平均9.97±3岁)参加了研究;男生93(80.8%),男生89(77.4%)。在测量血压的94名儿童中,有6名(6.4%)为高血压。 107名儿童中分别有3例(2.7%),2例(1.8%)和16例(14.9%)检出蛋白尿,血尿,糖尿。没有孩子有硝化尿。结论:大量筛查高血压,蛋白尿,血尿,糖尿可能是值得的,但不能用于尿路感染。 WKD期间在全国范围内收集的数据可以帮助确定筛查的成本收益,并有助于在资源有限的国家中制定国家筛查政策。 WKD提供了筛查否则可能会失踪的孩子(例如未上学和/或在农村地区的孩子)的机会。必须加大努力,跟进异常者。可以通过在当地医疗中心对其进行评估来完成。披露财务支持:该研究的一部分由尼日利亚Shika-Zaria的Ahmadu Bello大学教学医院资助,内容简介世界肾脏日(WKD)是国际肾脏病学会和国际肾脏基金会联合会于2006年发起的年度全球健康运动[1]。其目的是提高人们对肾脏对健康重要性的认识,并减少肾脏疾病及其相关问题的发生频率和影响。这是因为越来越多的人受到慢性肾脏病(CKD)的影响,而慢性肾脏病是导致心血管疾病发展的重要危险因素,而心血管疾病是全世界死亡的主要原因[1-5]。 WKD已成为宣传政府官员,医疗保健提供者和公众的有力工具,但在大多数国家/地区,重点是成年人而不是儿童[6]。尽管一些组织将儿童纳入教育活动中,但很少有儿童将其纳入世界知识文摘署的筛查计划中[7]。然而,肾脏疾病是全世界儿童发病的重要原因[8]。由于缺乏肾脏登记,许多资源有限的国家很难获得CKD的估计值[9]。在尼日利亚(撒哈拉以南非洲人口最多的国家),CKD的发病率估计为每百万儿童中有7.5名儿童发生[10]。这些可能被低估了,因为它们排除了无法获得医院护理的儿童。不幸的是,直到患者出现末期肾病(ESRD)时,肾脏疾病往往才被发现[9,10]。由于肾脏替代疗法的设施有限,这对患者及其家人造成了毁灭性的社会和经济后果,并且对大多数患者而言太昂贵了[3,10]。许多尼日利亚肾脏病学家建议进行筛查,以便及早发现肾脏疾病并预防或减慢向ESRD的进展[11-13]。这是必要的,因为普通公众对肾脏疾病知之甚少[14],有些人甚至用尿液来治疗疾病[15]。 WKD提供了机会来教育对肾脏疾病知之甚少的社区,并对其进行筛查。在2011年世界文化日期间,尼日利亚阿马杜·贝洛大学教学医院(ABUTH)的工作人员在尼日利亚扎里亚进行了公众启蒙讲座和广告放映

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