Research Article

Assessment of knowledge of acute kidney injury among non-nephrology healthcare workers in North-Kivu Province, Democratic Republic of the Congo

Charles Kangitsi Kahindo, Olivier Mukuku*, Stanis Okitotsho Wembonyama and Zacharie Kibendelwa Tsongo

Published: 06 April, 2022 | Volume 6 - Issue 1 | Pages: 030-035

Background: Assessment of knowledge of acute kidney injury (AKI) among healthcare workers (HCWs) is necessary to identify areas of deficiency and key topics to focus on while organizing educational programs to improve AKI care. The objective of this study was to assess AKI knowledge and practice among health care providers in North Kivu province, the eastern Democratic Republic of the Congo. 
Material and methods: This was a cross-sectional study conducted in six public hospitals in North Kivu province using a self-administered questionnaire. 
Results: A total of 158 HCWs completed the survey, among them 66 (41.78%) were physicians. The mean age of respondents was 36.07 ± 10.16 years and the male gender was 56.33%. Only 12 (7.59%) of the respondents had a good knowledge of the definition and classification of AKI. The respondents’ mean scores were 6.76 out of a total of 18 about risk factors for AKI and 6.29 out of a total of 11 with regard to nephrotoxic drugs. Regarding practices, 28.48% of the respondents assess the risk of AKI in their patients in their daily practices; 31.65% report AKI in the patients’ medical history, and 33.54% call on a nephrologist specialist to get specialized advice. 
Conclusion: This study found considerable gaps in knowledge and practice regarding AKI among most of HCWs in North Kivu province. 

Read Full Article HTML DOI: 10.29328/journal.jcn.1001087 Cite this Article Read Full Article PDF


Acute renal failure; Knowledge; Practices; Health care workers


  1. Ali SM, Badi S, Yousef BA. Physicians’ knowledge and practice with regard to acute kidney injury at Omdurman Military Hospital: A cross‑sectional survey. Int J Health Allied Sci. 2020; 9: 39-39.
  2. Nimkar A, Naaraayan A, Hasan A, Pant S, Durdevic M, et al. Incidence and risk factors for acute kidney injury and its effect on mortality in patients hospitalized from Covid-19. Mayo Clin Proc Innov Qual Outcomes. 2020; 4: 687-695. PubMed: https://pubmed.ncbi.nlm.nih.gov/32838205/
  3. Thongprayoon C, Hansrivijit P, Kovvuru K, Kanduri SR, Torres-Ortiz A, et al. Diagnostics, risk factors, treatment and outcomes of acute kidney injury in a new paradigm. J Clin Med. 2020; 9: 1104. PubMed: https://pubmed.ncbi.nlm.nih.gov/32294894/
  4. Oates T, Moochhala S. Recognition and management of acute kidney injury. Prescriber. 2017; 28: 17-21.
  5. Olowu WA, Niang A, Osafo C, Ashuntantang G, Arogundade FA, et al. Outcomes of acute kidney injury in children and adults in sub-Saharan Africa: a systematic review. Lancet Glob Health. 2016; 4: e242-e250. PubMed: https://pubmed.ncbi.nlm.nih.gov/27013312/
  6. Cerdá J, Mohan S, Garcia-Garcia G, Jha V, Samavedam S, et al. Acute kidney injury recognition in low-and middle-income countries. Kidney Int Rep. 2017; 2: 530-543. PubMed: https://pubmed.ncbi.nlm.nih.gov/29034358/
  7. Kher V, Srisawat N, Noiri E, Gharbi MB, Shetty MS, et al. Prevention and therapy of acute kidney injury in the developing world. Kidney Int Rep. 2017; 2: 544-558. PubMed: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5720672/
  8. Liu KD, Forni L, Heung M, Wu VC, Kellum JA, et al. Quality of care for acute kidney disease: current knowledge gaps and future directions. Kidney Int Rep. 2020; 5: 1634-1642. PubMed: https://pubmed.ncbi.nlm.nih.gov/33102955/
  9. James MT, Hobson CE, Darmon M, Mohan S, Hudson D, et al. Applications for detection of acute kidney injury using electronic medical records and clinical information systems: workgroup statements from the 15th ADQI Consensus Conference. Can J Kidney Health Dis. 2016; 3: 9. PubMed: https://pubmed.ncbi.nlm.nih.gov/26925245/
  10. Joslin J, Wilson H, Zubli D, Gauge N, Kinirons M, et al. Recognition and management of acute kidney injury in hospitalised patients can be partially improved with the use of a care bundle. Clin Med. 2015; 15: 431. PubMed: https://pubmed.ncbi.nlm.nih.gov/26430180/
  11. Nascimento RAMD, Assunção MSC, Silva JM, Amendola CP, Carvalho TMD, et al. Nurses’ knowledge to identify early acute kidney injury. Revista da Escola de Enfermagem da USP. 2016; 50: 0399-0404. PubMed: https://pubmed.ncbi.nlm.nih.gov/27556709/
  12. Igiraneza G, Dusabejambo V, Finklestein FO, Rastegar A. Challenges in the recognition and management of acute kidney injury by hospitals in resource-limited settings. Kidney Int Rep. 2020; 5: 991-999. PubMed: https://pubmed.ncbi.nlm.nih.gov/32647756/
  13. Lewington AJ, Cerdá J, Mehta RL. Raising awareness of acute kidney injury: a global perspective of a silent killer. Kidney int Rep. 2013; 84: 457-467. PubMed: https://pubmed.ncbi.nlm.nih.gov/23636171/
  14. Khan IH, Catto GRD, Edward N, Macleod AM. Acute renal failure: factors influencing nephrology referral and outcome. QJM: Int J Med. 1997; 90: 781-785. PubMed: https://pubmed.ncbi.nlm.nih.gov/9536343/
  15. Adejumo O, Akinbodewa A, Alli O, Olufemi P, Olatunji A. Assessment of knowledge of acute kidney injury among non-nephrology doctors in two government hospitals in Ondo City, Southwest, Nigeria. Ethiop J Health Sci. 2017; 27: 147-154. PubMed: https://pubmed.ncbi.nlm.nih.gov/28579710/
  16. Evans R, Rudd P, Hemmila U, Dobbie H, Dreyer G. Deficiencies in education and experience in the management of acute kidney injury among Malawian healthcare workers. Malawi Med J. 2015; 27: 101-103. PubMed: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4688871/
  17. Abdou FA, Abdou SM. Assessment of Nurses knowledge in the early detection and Management of acute kidney injury in Assuit and Mansoura Main University hospital. J Health Sci Nurs. 2019; 4: 47-60.
  18. Batouche DD, Benatta NF, Sadaoui L, Okbani R, Mentouri Z. L’insuffisance rénale aiguë post-traumatique chez l’enfant et facteurs prédictifs de sa survenue. Néphrologie Thérapeutique. 2016; 12: 320-321.
  19. Blayau C. Insuffisance rénale aiguë postopératoire. Le Praticien en Anesthésie Réanimation. 2011; 15: 352-358.
  20. Davidman M, Olson P, Kohen J, Leither T, Kjellstrand C. Iatrogenic Renal Disease. Arch Int Med.1991; 151: 1809-1812. PubMed: https://pubmed.ncbi.nlm.nih.gov/1888247/
  21. Izzedine H. Pathologies rénales au cours de l’infection par le VIH. La lettre de l’infectiologue. 2009; 24: 146-156.
  22. Muniraju TM, Lillicrap MH, Horrocks JL, Fisher JM, Clark RMW, et al. Diagnosis and management of acute kidney injury: deficiencies in the knowledge base of non-specialist, trainee medical staff. Clin Med. 2012; 12: 216-221. PubMed: https://pubmed.ncbi.nlm.nih.gov/22783771/


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