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Obstructive Acute Kidney Injury In The Hospital Of Tanguieta: Frequency, Clinical, Therapeutic And Evolutive Aspects

Author: 
Séraphin Ahoui, Montcho Adrien Hodonou, Jacques Vigan, Salako Alexandre Allode, Bio Tamou Sambo, 1Boris Gogan, Romaric Tobome, Allassane Boukary and Gambastiani Priuli
Subject Area: 
Health Sciences
Abstract: 

Background: Urinary excretory obstruction causes obstructive acute kidney injury (AKIOb) which is a real public health problem. Objective: To study the frequency of AKI Ob, the clinical, therapeutic and the outcome aspects and the recovery of renal function at the Hospital of Saint John of God Tanguiéta. Patients and methods: This was a retrospective, descriptive and analytical study covering a period from July 1st2011 to June 30st 2016. The study involved 75 cases collected at the Tanguiéta district hospital. All AKI cases treated and monitored in the hospital during the study period and meeting our diagnostic criteria were included. The pertubation of renal function evolving in acute mode the identification of the objectivized obstacle On ultrasound by dilatation of the pyelocalicious cavities were the main diagnostic criterion. Results: Of the 608 cases of acute renal failure recorded during the study period, 84 were obstructive, with a frequency of 13.81%, but 75 cases meet our inclusions criteria. The mean age of the patients was 51.95 ± 19.69 years. The sex ratio was 4.77. Mean serum creatinine was 17.80 mg / L. The first two aetiologies were prostatic hypertrophy 33 cases (44%) and lithiasis 23 cases (30.67%). The average time elapsed between the diuresis anomaly and the bypass was 24.91 days. Thirteen cases (17.33%) of death were recorded. Factors influencing the recovery of renal function after removal of the obstacle were: delay before derivatization (p = 0.002), persistence of oliguria (p = 0.02), importance of renal failure (P = 0.0001), surgical management (p = 0.005). Conclusion: Acute obstructive renal failure is frequent and severe. The best treatment is prevention, which involves the early diagnosis and treatment of aetiologies.

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