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Long-term peritoneal dialysis in infants.

¹Great Ormond Street Hospital for Children, London, United Kingdom. Reesl@gosh.nhs.uk

Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis

|November 22, 2007

Summary

Infant dialysis presents challenges, with high mortality in sick infants but good long-term outcomes for healthy infants. Management requires careful attention to complications and feeding needs.

Area of Science:

Pediatric Nephrology
Neonatal Intensive Care
Renal Replacement Therapy

Background:

Infants requiring dialysis represent a small but complex patient population.
Management is challenging due to high mortality in comorbid infants and frequent complications.
Enteral feeding is often necessary for these infants.

Purpose of the Study:

To summarize the challenges and outcomes associated with dialysis in infants.
To highlight the specific difficulties in managing this patient group.
To compare long-term outcomes between different infant subgroups.

Main Methods:

This study reviews existing literature and clinical data on infant dialysis.
It focuses on management strategies, complications, and patient outcomes.

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Comparative analysis of outcomes based on infant health status.

Main Results:

Infants with comorbidities face high mortality rates.
Complications related to dialysis are common in this age group.
Otherwise healthy infants undergoing dialysis show long-term outcomes comparable to older children.

Conclusions:

Dialysis in infants is feasible but requires specialized care.
Risk stratification and management of comorbidities are crucial for improving survival.
Long-term prognosis is favorable for infants without significant comorbidities.