Non-infectious Complications of Peritoneal Dialysis among Sudanese Patients: Five Years Experience

M, Mekki; Fedail, Haleema; Ali, El-Tigani M. A.; Abdelraheem, Mohammed B; Al-Sanousi, Hanan; Elamin, Sarra; Kaballo, Babikir J; Tammam, Layla; Abdelwahab, Hisham; Medani, Safaa; Khamis, Ammar H.; Abu‐Aisha, Hassan

doi:10.4314/ajnt.v4i1.63152

Cited by 8 publications

(4 citation statements)

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“…The common pathogens of PD-related peritonitis include Staphylococcus epidermidis, Staphylococcus aureus, Pseudomonas aeruginosa, Escherichia coli, and Salmonella (9). Non-infective complications included increased intraabdominal pressure that resulted in hernias, dialysate leakage, catheter obstruction, catheter malposition, and back pain (10), as well as metabolic change that resulted in bloody dialysate and chyloperitoneum (11).…”

Section: Introductionmentioning

confidence: 99%

Diabetes Is the Most Critical Risk Factor of Adverse Complications After Peritoneal Dialysis Catheter Placement

Chang

Hsiao

et al. 2021

Front. Med.

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Introduction: Peritoneal dialysis (PD) is a kind of renal replacement therapy for end-stage renal disease (ESRD). While PD has many advantages, various complications may arise.Methods: This retrospective study analyzed the complications of ESRD patients who received PD catheter implantation in a single medical center within 15 years.Results: This study collected 707 patients. In the first 14 days after PD implantation, 54 patients experienced bleeding complications, while 47 patients experienced wound infection. Among all complications, catheter-related infections were the most common complication 14 days after PD implantation (incidence: 38.8%). A total of 323 patients experienced PD catheter removal, of which 162 patients were due to infection, while 96 were intentional due to kidney transplantation. Excluding those whose catheters were removed due to transplantation, the median survival of the PD catheter was 4.1 years; among them, patients without diabetes mellitus (DM) were 7.4 years and patients with DM were 2.5 years (p < 0.001). Further, 50% probability of surviving was beyond 3.5 years in DM patients with HbA1CC < 7 and 1.6 years in DM patients with HbA1C <7 (p ≥ 0.001).Conclusions: Catheter-related infections were the most common complications following PD catheter implantation. DM, especially with HbA1C ≥7, significantly impacted on the catheter-related infection and the survival probability of the PD catheter.

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Section: Introductionmentioning

confidence: 99%

Diabetes Is the Most Critical Risk Factor of Adverse Complications After Peritoneal Dialysis Catheter Placement

Chang

Hsiao

et al. 2021

Front. Med.

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“…A bdominal hernias are relatively common non-infectious complications in peritoneal dialysis (PD) patients with reported prevalence rates ranging from 7% to 27.5% (1-5), and an incidence of 0.05 to 0.08 hernias per dialysis year (2,5,6). The risk factors for hernia formation include multiparous females, elderly males, polycystic kidney disease (PCKD), low body weight, previous hernia repair, history of more than three laparotomies, and midline incision for PD catheter placement (2,5,7,8).…”

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confidence: 99%

The Risk Factors and the Impact of Hernia Development on Technique Survival in Peritoneal Dialysis Patients: A Population-Based Cohort Study

Yang

Liu

et al. 2015

Perit Dial Int

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“…Hypokalemia-Hypokalemia was observed in 15 out of 71 patients in our study11 patients had mild hypokalemia and 4 patients had moderate hypokalemia. Hypokalemia was not a major non infectious complications in our reference studies except in a study on Sudanese patients where hypokalemia was observed in 104 out of 296 patients studiedand it was the commonest non-infectious complication noticed [6]. It was reported that 10-15% of PD patients require potassium supplementation for hypokalemia [7].…”

Section: Discussionmentioning

confidence: 70%

A study on the non-infectious complications of continuous ambulatory peritoneal dialysis

2019

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Introduction:Patients with end-stage renal disease (ESRD) are treated with hemodialysis (HD) or continuous ambulatory peritoneal dialysis (CAPD). Non-infectious complications of CAPD are increasing in relative importance due to success in decreasing the rate of peritonitis. Aims and Objectives: Our aim was to study the non-infectious complications in patients of ESRD on CAPD and to study the impact of the non-infectious complications in the survival of CAPD catheters. Materials and Methods: A prospective study has been conducted at Regional institute of medical science, Imphal in a total of 71patients of ESRD who are already on CAPD or newly diagnosed ESRD who have undergone CAPD catheter implantation. Their detailed history, clinical examination and relevant laboratory investigations were done and the different non-infectious complications were identified and analysed. Result: Out of the 71 patients studied 39 patients had complications like hypokalemia (15 patients), omental wrap (10 patients), catheter tip migration (6 patients), haemoperitonium (2 patients), hydrothorax (2patients), exit site leak (2patients), abdominal wall edema (1patient), catheter block(1patient). Conclusion: In our study the most common non-infectious complication was hypokalemia followed by omental wrap and catheter tip migration. Knowledge about the common prevalent noninfectious complications of CAPD alerts the treating doctor to take up the specific corrective steps at an earlier stage, thus preventing the morbidity associated with the same. We conclude that the majority of non-infectious complications in these patients were treatable and did not interfere with the catheter survival.

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Non-infectious Complications of Peritoneal Dialysis among Sudanese Patients: Five Years Experience

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Cited by 8 publications

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Diabetes Is the Most Critical Risk Factor of Adverse Complications After Peritoneal Dialysis Catheter Placement

Diabetes Is the Most Critical Risk Factor of Adverse Complications After Peritoneal Dialysis Catheter Placement

The Risk Factors and the Impact of Hernia Development on Technique Survival in Peritoneal Dialysis Patients: A Population-Based Cohort Study

A study on the non-infectious complications of continuous ambulatory peritoneal dialysis

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