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Peritoneal dialysis in children. Review of 8 years' experience

R E Day, R H White

    Archives of Disease in Childhood
    |January 1, 1977
    PubMed

    Insights

    Peritoneal dialysis is an effective treatment for acute renal failure in children. While peritoneal infection is a common complication, especially in younger children, it is generally treatable.

    Area of Science:

    • Pediatric Nephrology
    • Critical Care Medicine

    Background:

    • Acute renal failure (ARF) in children presents significant management challenges.
    • Peritoneal dialysis (PD) offers a therapeutic option for pediatric ARF.

    Purpose of the Study:

    • To evaluate the efficacy and safety of peritoneal dialysis in pediatric patients with acute renal failure.
    • To identify common complications and outcomes associated with PD in this population.

    Main Methods:

    • Retrospective analysis of 59 PD sessions in 44 children (2 days to 17 years) from 1968-1975.
    • Detailed review of complications, treatment strategies, and patient outcomes.

    Main Results:

    • Peritoneal infection was the most frequent complication (68% in <2 years, 30% in older children), typically responsive to treatment.
    • Intramuscular and intraperitoneal gentamicin therapy was utilized.
    • Mortality occurred in 2 patients due to intraperitoneal hemorrhage; one patient had intestinal perforation.

    Conclusions:

    • Peritoneal dialysis is a viable and safe method for managing pediatric ARF when performed in specialized centers.
    • Experienced centers can effectively manage complex metabolic issues and underlying renal diseases during PD treatment.

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