Abstract

Introduction: This report outlines the activities and findings from the one-week pediatric nephrology mentorship course held in Dushanbe, Tajikistan. 

Activities Overview: Throughout the week, our group conducted daily patient visits and also managed outpatient consultations. 

Clinical Highlights: We visited the ICU and  in hemodialysis unit, we noted the capability to perform dialysis on children weighing as little as 8 kg. We provided comprehensive care for a 16-year-old girl with glomerulonephritis. During our visit to the kidney and liver transplant section, we learned that biopsies are performed under ultrasound guidance with subsequent analysis by pathologist.

Educational Activities: Daily conferences were conducted, covering topics such as:

• Principles of fluid therapy in children.
• Fluid therapy in critical conditions and acutely ill children.
• Acid-base disorders in children.
• Diagnostic approaches to hypernatremia in children.
• Management of hypertensive crises in children.
• Diagnostic strategies for acute kidney injury in children.

We met with the Minister of Health Dr. Jamoliddin Abdullozoda. We presented several proposals to improve nephrology services, including:

• Updating scientific resources for medical students and professionals.
• Revising the educational curriculum and developing new guidelines.
• Conducting both online and in-person training sessions.
• Organizing separate training courses for hemodialysis.
• Addressing shortages of essential medications and laboratory supplies.
• Establishing a patient support association.
• Appointing a responsible party for acute peritoneal dialysis.
• Implementing a patient record system for outpatient care