Department of Pediatrics and Child Health, Iringa Regional Referral Hospital, Iringa, Tanzania.
Department of Surgery, Iringa Regional Referral Hospital, Iringa, Tanzania.
J Med Case Rep. 2024 Sep 22;18(1):443. doi: 10.1186/s13256-024-04777-9.
Peritoneal dialysis as one of the nephrology services in children with acute kidney injury is a safe and cost-effective modality of treatment in low and lower-middle income countries. Despite evidence of its effectiveness in limited resource settings, the service is still provided only in tertiary level healthcare facilities in Tanzania.
In this case report, we narrate the survival of a 22-month-old male patient of African descent with an acute kidney injury following a swarm of bees' stings at home. A lifesaving, although low-quality and high-risk, peritoneal dialysis was performed for 5 days at Iringa Regional Referral Hospital, a secondary level health facility in rural Tanzania with lack of standard and recommended expertise, laboratory investigations, and equipment.
Lower- and middle-income countries in collaboration with stake holders should ensure that this service is available, accessible, and safe in the lower-level health facilities, given that access to the tertiary-level facilities is inadequate and time limited, hence serving a larger population.
腹膜透析是肾病学服务之一，适用于急性肾损伤患儿，在低收入和中低收入国家，它是一种安全且具有成本效益的治疗方式。尽管在资源有限的情况下已证实其具有疗效，但坦桑尼亚的该服务仅在三级保健设施中提供。
在本病例报告中，我们讲述了一名非洲裔 22 个月大男童的生存情况，该男童在家中被一群蜜蜂蜇伤后发生急性肾损伤。在伊林加地区转诊医院（坦桑尼亚农村的二级卫生机构）进行了挽救生命的腹膜透析，尽管质量低且风险高，但仍进行了 5 天的治疗。该医院缺乏标准和推荐的专业知识、实验室检查和设备。
中低收入国家应与利益攸关方合作，确保在较低级别的卫生设施中提供、可及且安全的该服务，因为获得三级设施的机会不足且时间有限，因此需要为更多人群提供服务。
