[Preliminary results of treating patients with chronic renal failure with the help of CAPD]

This study is the preliminary review of the above 2 year period of treatment of patients with chronic renal failure being on CAPD in our center. The study was performed in 14 patients during the cumulative period of 192 patient-months. The analysis of infectious and non-infectious complications was conducted, and patients were also monitored in terms of quantitive measurements of dialysis adequacy and nutritional status using such parameters like total Kt/V (urea), total Weekly Creatinine Clearance (tWCC), normalized protein catabolic rate (npcr) and serum albumin level. We also analysed the influence of residual renal function (RRF) on these parameters and relationships between them. During the study period we observed 7 episodes of peritonitis with the medium rate of 1 episode per 24.7 patient-months. Six of them were treated succesfully conservatively, but in one case catheter removal was necessary because of uneffective farmacological therapy. We also observed two episodes of exist site infection (ESI), one treated finally by catheter replacement. Two technical problems also occurred: leakage into abdominal wall and through the catheter tunnel. During the observation period all patients remained alive, although one was transfered to HD after 14 months of CAPD (earlier 4 months on manual IPD) because of lack of adequacy and severe peritonitis. Obtained results of nutritional status indicate, that 50% of patients were malnourished in terms of npcr and 35.7% in terms of serum albumin level. Seven of 14 patients were adequately dialysed acording to Kt/V, 9 according to tWCC.