Citation:T. W, Ratnayeke R.M.C.S.B & Weerasekera W.A.L.P.2016. The prevalence of chronic kidney disease of uncertain etiology in the subtropical highland of sri lanka; a community prevalance study; 129th Anniversary International Medical Congress.
Date:2016
Abstract:
Introduction and objective
Few cases with CKD of unknown etiology has been reported from “Bagawanthalawa” plantation
sectors in the recent past. The objective was to studyCKDuprevalence in a subtropical
highlandcommunity.
Method
A population of 1400, >18 years aged males and females who live in four estate divisions in
Bagawanthalawa were invited to participate in CKD screening by the Medical Officer of Health.
The population was screened as per current CKDu screening guidelines in Sri Lanka. Screening
was held on the 13th of March 2016. Overnight spot urine was collected. Brief medical history,
blood pressure, urine for dipstick proteinuria, serum creatinine(SCr) and random blood sugar
were recorded.Dipstick proteinuria >1+ or high SCr(>1.3 and >1.1 mg/dl for male and females
respectively) or both positive cases were diagnosed as CKDu after excluding known causes of
CKD.
Results
A total of 453 people responded for the call. There were 286 females and 167 males. 91.3% were
estate laborers. Six males and five females, totally 11 cases found to have either proteinuria or
elevated SCr or both. 4 cases were known hypertensive and preliminarily diagnosed as CKD.
Five cases with only proteinuria and two cases with only elevated SCrwere preliminarily
diagnosed as CKDu that their past medical history was uneventful.CKDu and CKD/CKDu
prevalence inthe screened populationwas 1.5% and 2.4% respectively.
Conclusion
The positive cases will be followed up to confirm the diagnosis and further management. The
CKDu prevalence is low in the wet zone of Sri Lanka.
