Complications and Clinical Outcomes in Peritoneal Dialysis Pediatric Patients
Peritoneal Dialysis Pediatric Patients
Keywords:
complications, outcomes, peritoneal dialysis, pediatricAbstract
Peritoneal dialysis (PD) is the preferred dialysis modality for end stage renal disease (ESRD) children. The study aimed to clarify complications and outcomes in peritoneal dialysis pediatric patients. In this retrospective study, 35 patients aged less than 15 years old who were treated with peritoneal dialysis during the period from 1 January 2010 to 31 December 2020. Thirty-five patients had peritoneal dialysis performed for 876 months. Their median age was 11 years 1 month (range 6 months-15 years). There were 50 episodes of peritonitis in 19 patients (1episode/17.5 patient-months). Time from onset of dialysis to first onset of peritonitis were 1-82 months. Gram negative bacteria was the most frequent causative organism (42%). Catheter displacement was the most frequent non-infectious complication (50%). Case fatality rate was 22.9%. In conclusion, peritonitis remains a common complication of peritoneal dialysis pediatric patients and Acinetobacter baumannii is the most common causative organism.
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