# A Detailed Description of Locally Available Peritoneal Dialysis in a Low-Resource Setting: A Case Report

## TL;DR

A 10-year-old boy in rural Ghana was successfully treated with locally made peritoneal dialysis for acute kidney injury.

## Contribution

The paper provides a detailed, practical guide for creating and using peritoneal dialysis in low-resource settings.

## Key findings

- The patient showed significant improvement after starting local peritoneal dialysis.
- Locally made dialysis fluids were effective in treating acute kidney injury.
- The method is feasible and can be implemented in areas with limited healthcare resources.

## Abstract

Acute kidney injury is a potentially fatal condition, particularly in low-resource settings, where access to renal replacement therapy is limited. This creates a problem of accessibility to healthcare for many patients living in low-resource settings. A 10-year-old boy in rural Ghana presented with anuria, edema, hypertension, and seizures, and severely elevated creatinine and urea levels were measured. Local peritoneal dialysis was started on Day 4 of admission, and the patient showed significant improvement. This report shows the effectiveness including subsequent laboratory results of locally made peritoneal dialysis and gives a detailed description on how to locally make dialysis fluids and how to perform peritoneal dialysis in a low-resource setting.