Jul 25 2023
July 25, 2023

ISN-AFRAN Webinar: AKI in Limited-resource settings

  • 4:00 PM CEST

The incidence of AKI in hospitalized patients in Africa ranges from 0.3 to 1.9% in adults but is higher is patients with sepsis or who need intensive care. Between 70 and 90% of cases of AKI are community acquired. Most patients with AKI are young with a weighted mean age of 29.4 sd 9.3 years with a male to female ratio of 1.2. Medical causes account for between 65 and 80% of causes of AKIThis is followed by obstetric causes in14-27% of cases and surgical causes in 8-15% of cases. Between 17 and 94% of patients who needed dialysis received this. The mortality of AKI in adults in Africa was higher in ITU patients (65.7% sd 9.9) than in non ITU patients (27.5% sd 16.0). Most reported cases of AKI in Africa originate in the community. The low incidence of hospital acquired AKI is likely to be due to under ascertainment.  Most patients with AKI in Africa are young and have a single precipitating cause. Prominent among these are infection, pregnancy complications and nephrotoxinsEarly treatment can improve clinical outcomes. 

Learning objectives: 

  • To recognize the major causes of AKI in adults and children in Africa 
  • To identify the methods of diagnosing AKI in Africa 
  • To understand the methods of treating AKI in Africa and the outcome 
  • To know the prognosis of AKI in Africa 


Hany Hafez (Egypt)

Abdou Niang (Senegal)

Rasha Darwish (Egypt)


Dwomoa Adu (Ghana)

Yasser Abdel Hamid (Egypt)

Irma Tchokhonelidze (Georgia)