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Chronic peritoneal dialysis in children: a single-centre experience in Jordan

Mahdi Qasem Farah Frehat1, Ghazi Mohammad Al-Salaita1, Jwaher Thiab Al-Bderat1

  • 1Pediatric Nephrology Department, Queen Rania Al Abdallah Hospital for Children, King Hussein Medical Center, Amman, Jordan.

Sudanese Journal of Paediatrics
|June 13, 2020
PubMed

Insights

Chronic peritoneal dialysis (PD) is a viable option for pediatric end-stage renal disease (ESRD) in Jordan. Peritonitis remains the most frequent complication, underscoring the need for improved management and transplantation.

Area of Science:

  • Pediatric Nephrology
  • Renal Replacement Therapy
  • Dialysis Management

Background:

  • End-stage renal disease (ESRD) in children presents significant management challenges.
  • Peritoneal dialysis (PD) offers an alternative to hemodialysis for pediatric ESRD.
  • Limited data exists on chronic PD experiences in pediatric populations in Jordan.

Purpose of the Study:

  • To report the experience with chronic peritoneal dialysis (PD) in children at King Hussein Medical Center, Amman, Jordan.
  • To identify and analyze the complications associated with pediatric PD.
  • To evaluate the outcomes of PD in a Jordanian pediatric cohort.

Main Methods:

  • Retrospective chart review of pediatric patients (0-14 years) undergoing chronic PD from 2009-2019.
  • Data collected included dialysis mode, PD type, age at initiation, etiology of ESRD, duration, complications, and outcomes.
  • Analysis of 40 pediatric patients on PD, comparing them with 229 on hemodialysis.

Main Results:

  • 40 children received PD (22 boys, 18 girls), with a mean age of 62 months at initiation and a mean PD duration of 43 months.
  • The most frequent complications were peritonitis (52.5%), exit-site infection (30%), and catheter malfunction (12.5%).
  • Outcomes included 6 patients switched to hemodialysis, 4 received transplants, and 11 died.

Conclusions:

  • Chronic peritoneal dialysis is a feasible and promising renal replacement therapy for children in Jordan.
  • Peritonitis is the predominant complication, necessitating vigilant monitoring and management strategies.
  • Kidney transplantation should be prioritized as the optimal long-term renal replacement therapy for improved survival and quality of life.

Keywords:
ChildChronic peritoneal dialysisEnd-stage renal diseaseHemodialysisJordanKidney transplant

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