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Peritoneal dialysis in children.

Jameela A Kari1

  • 1Pediatrics Department, King Abdul Aziz University Hospital, Jeddah, Saudi Arabia.

Saudi Journal of Kidney Diseases and Transplantation : an Official Publication of the Saudi Center for Organ Transplantation, Saudi Arabia
|July 24, 2007
PubMed
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Peritoneal dialysis (PD) is a viable renal replacement therapy for children with end-stage renal failure (ESRF) from low socioeconomic backgrounds. Despite challenges like peritonitis, PD offers a treatment option for pediatric ESRF patients.

Area of Science:

  • Pediatric Nephrology
  • Renal Replacement Therapy

Background:

  • End-stage renal failure (ESRF) poses significant challenges for children, particularly those from low socioeconomic backgrounds.
  • Peritoneal dialysis (PD) is a treatment option, but its effectiveness and complications in this demographic require further investigation.

Purpose of the Study:

  • To evaluate the outcomes of pediatric patients with ESRF undergoing peritoneal dialysis (PD).
  • To identify common complications and factors associated with PD treatment in children from low socioeconomic status.

Main Methods:

  • A retrospective study was conducted on 15 children with ESRF who received PD between June 2000 and June 2004.
  • Data collected included patient demographics, PD modality (CAPD or automated PD), duration of therapy, complications, and treatment outcomes.

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Main Results:

  • The most frequent complications were peritonitis (53%) and exit site infections (26.6%).
  • Gram-negative bacteria were the leading cause of peritonitis.
  • Higher rates of illiteracy and less availability of a separate room were associated with peritonitis.

Conclusions:

  • Peritoneal dialysis (PD) can be a suitable renal replacement therapy for children with ESRF, even in low socioeconomic settings.
  • Addressing socioeconomic factors and infection control are crucial for improving PD outcomes in pediatric patients.