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conferenceseries
.com
Volume 3, Issue 3 (Suppl)
J Kidney, an open access journal
ISSN:2472-1220
Kidney & Nephrology 2017
August 28-30, 2017
August 28-30, 2017 Philadelphia, USA
15
th
Annual Congress on
Kidney: Nephrology & Therapeutics
Onesmo A Kisanga et al., J Kidney 2017, 3:3 (Suppl)
DOI: 10.4172/2472-1220-C1-002
Renal transplantation in sub-SaharanAfrica: A case of Tanzania
Onesmo A Kisanga
1
, Francis Fredrick
1, 2
, Paschal J Ruggajo
1, 2
and
Eden E Maro
2
1
Muhimbili National Hospital, Tanzania
2
Muhimbili University of Health and Allied Sciences, Tanzania
Background:
Renal replacement therapy (RRT) is the treatment of choice for patients with end stage renal failure, RRT include
dialysis and kidney transplantation. Most sub-Saharan African countries have not developed renal transplantation services and
are relying on referring patients to overseas countries. This study was carried out to describe renal transplantation experience
in Tanzania.
Methods:
Forty four renal transplant recipients were recruited in this study. Standardized questionnaire and Swahili version
of standard form – 36 (SF-36) were used to collect socio-demographic information, clinical data, laboratory test results and
health related quality of life information.
Results:
Ages of transplant recipient ranged from 21 to 66 years with mean age of 45.9 ± 10.5 years. The leading causes of end
stage renal failure among participants was hypertension 58.8% (25/44) followed by glomerulonephritis 15.9% (7/44). Twenty
eight (63.6%) of transplantations were paid by the government. Most of the donors (97.7%) were living out of which 26 (59.1%)
were siblings and 11 (25%) were second degree relatives (cousins and nephews). Most common complication noted following
transplantation was diabetes mellitus 9 (20.5%) and 3 (6.8%) had chronic rejection. Mental health was the domain with highest
mean score (75.6 ± 14.3) and role physical had the least mean score (44 ± 45.6).
Conclusions:
Hypertension was the leading cause of ESRF in this study. Most of the donors were siblings and the costs
of transplantation were largely covered by the government. There is a need for concerted effort to establish local kidney
transplantation services in Tanzania.
Biography
Onesmo A Kisanga has completed his MD, MMed (Internal Medicine) and MSc (Nephro) from University of Dar es Salaam and currently working at Muhimbilim
University of Health Sciences. He is a Consultant Physician and a Nephrologist at Muhimbili National Hospital. He is serving as a Medical Director with Access
Medical and Dialysis Centre and President of Nephrology Society of Tanzania (NESOT). His interest is in Kidney Transplant. His group started kidney registry in
the country and expanded kidney biopsy programe.
oakisanga@yahoo.co.uk