The practice of dialysis in the developing countries.

摘要: There are few organized data on the practice of dialysis in developing countries, mostly because a lack renal registries. The economic, human, and technical resources required for long-term make it major economical political challenge. Most countries do not have well-formed policies treatment end-stage disease. facilities grossly inadequate, there no reimbursement schemes to fund dialysis. Hemodialysis units private sector consist small numbers refurbished machines. Water is frequently suboptimal, this problem has led number complications. Hepatitis B C infections widespread units. Continuous ambulatory peritoneal (CAPD) seems be ideal option patients living remote areas, but high costs preclude its usage. Mexican experience suggests that even after becomes affordable, CAPD needs used judiciously. Inadequate dialysis, infections, malnutrition account mortality among population countries. Acute using rigid stylet-based catheters main form areas. Pediatric almost nonexistent. A significant exists making provision highly expensive care like