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Sociodemographic features and outcomes of peritonitis episodes in children on peritoneal dialysis

Ayşe Seda Pınarbaşı1, Mehtap Akbalık Kara2

  • 1Pediatric Nephrologist, Diyarbakır Children's Hospital, Diyarbakır, Turkey.

Therapeutic Apheresis and Dialysis : Official Peer-Reviewed Journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy
|March 11, 2022
PubMed

Insights

Peritonitis is a common complication in pediatric peritoneal dialysis (PD). This study investigated peritonitis causes and frequency in children undergoing PD, finding a rate of one episode per 24.4 patient-months.

Area of Science:

  • Pediatric Nephrology
  • Renal Replacement Therapy
  • Infectious Complications in Dialysis

Background:

  • Peritoneal dialysis (PD) is a preferred kidney replacement therapy for children.
  • Peritonitis is a significant complication associated with PD.
  • Understanding the causes and frequency of peritonitis in pediatric PD is crucial for patient management.

Purpose of the Study:

  • To investigate the causes and frequency of peritonitis in children undergoing peritoneal dialysis.
  • To identify demographic and clinical factors associated with peritonitis in pediatric PD patients.

Main Methods:

  • A 5-year retrospective study of pediatric PD patients.
  • Analysis of demographic features, peritonitis episodes, and microbiological data.
  • Calculation of peritonitis rates and culture negativity rates.

Main Results:

  • 50 pediatric PD patients were included over a 5-year period.
  • The overall peritonitis rate was 1 episode per 24.4 patient-months.
  • Culture negativity rate was 44%, indicating a substantial proportion of unidentified causative agents.

Conclusions:

  • While factors like parental education and household conditions were considered, they did not show a statistically significant influence on peritonitis episodes.
  • Further research may be needed to identify modifiable risk factors for peritonitis in pediatric PD.
Abstract

Keywords:
pediatricsperitoneal dialysisperitonitissociodemographic features

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