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Long-term peritoneal dialysis in infants

Lesley Rees1

  • 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
PubMed

Insights

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.
  • 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.

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