Etiological pattern of CKD among tea garden workers in Sylhet,Bangladesh

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Etiological pattern of CKD among tea garden workers in Sylhet,Bangladesh

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Co-author 1

Shubharthi Kar shubharthi@gmail.com Habiganj Medical College Nephrology Habiganj Bangladesh *

Co-author 2

Debaleena Das Gupta debaleenadoc@gmail.com M A G Osmani Medical College Pharmacology Sylhet Bangladesh -

Co-author 3

Sayful Hasan shofi.beanibazar86@gmail.com M A G Osmani Medical College Nephrology Sylhet Bangladesh -

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Introduction

Bangladesh is a tea exporting country produces 3 % of world’s total tea production.

Approximately One Lac Forty thousands tea garden workers work in 167 tea gardens in Bangladesh. Their health issue has never been address elaborately. From our practice we have observed tea garden workers present lately with their ailment and their health issues including CKD need to be taken care of.

Methods

This was an outdoor based cross sectional study.

Results

We evaluated 20 tea garden workers having CKD in Mount Adora Hospital, Sylhet , Bangladesh. Among them 09 were female and rest were male. Only one patient had Diabetic Kidney disease. In Bangladesh 41% of CKD are diabetics , but in our study among tea garden workers only 5% was diabetic. The rest 19 were non diabetic. Only 4 CKD (20%) patients were hypertensive. In another study 42.5 % patients with CKD were hypertensive.

From urine analysis one patient was diagnosed as glomerulonephritis although we could not do a renal biopsy as small sized kidneys . Eight patients had hyponatremia and three had hyponatremia and hypokalemia.

Mean eGFR was 28.2 ml/min. 10 patients could recall that they took on and off painkillers one or two tablets each month

Conclusion

So our observation from this small group that etiology of CKD among tea workers in Bangladesh is different from general Bangladeshi Population. Larger population based study can reveal the different etiological profile of CKD in Bangladesh.

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