Peritoneal dialysis in children: Reaching milestones but room for growth

Shroff, Rukshana

doi:10.1177/0896860821995385

Cited by 2 publications

(1 citation statement)

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“…The most common modality of chronic dialysis in children is peritoneal dialysis, especially in younger children where HD is not feasible. [ 26 ] Peritoneal dialysis was opted as a choice of RRT in majority when the option was provided to the family, as patients coming from remote areas did not have easy access to HD facility, and moreover, dedicated paediatric HD centres are scarce in our country. While PD is especially beneficial for patients coming from remote areas, round the clock availability of electricity, steady supply of peritoneal dialysis fluid bags and the availability of a separate room for peritoneal dialysis are major challenges.…”

Section: Discussionmentioning

confidence: 99%

Chronic peritoneal dialysis in children with chronic kidney disease

Sharawat

Tiewsoh

Soni

et al. 2021

Journal of Family Medicine and Primary Care

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Introduction: Chronic peritoneal dialysis (CPD) is an important modality of renal replacement therapy (RRT) in children of all ages with end-stage renal disease (ESRD). We retrospectively assessed the clinical profile of children with chronic kidney disease (CKD) initiated on CPD at a tertiary care centre in Northern India. Materials and Methods: Retrospective data of 13 children with CKD and initiated on CPD between 2016 and 2019 were retrieved and analysed. The demographic and clinical profile, aetiology of CKD, method of catheter insertion, mode of dialysis, complications, and catheter survival rate were analysed. Results: The median age at the onset of the symptoms was 81 months interquartile range (IQR 11–90) and the median age at the diagnosis was 81 months (IQR 36–103). The median age at the initiation of CPD was 92.97 months (IQR 74.43–108.79). The median serum creatinine at the initiation of CPD was 6.3 mg/dL (IQR 4.25–8.4). During a total study period of 84 CPD months, we observed 16 catheter-related complications and a complication rate of 1 per 5.25 CPD months. The overall peritonitis rate was 1 episode per 13.66 patient-months (0.87 episodes per patient-year). The catheter displacement/migration was seen in 23% of the cases. The median duration of follow-up was 175 days (IQR 85–249) with the longest follow-up duration of 502 days. Conclusion: CPD is the modality of choice for smaller children with ESRD as venous access is difficult to achieve in smaller children. Complications especially related to infections are a major concern in addition to poor growth associated with ESRD.

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Section: Discussionmentioning

confidence: 99%