Five years' experience with continuous ambulatory or continuous cycling peritoneal dialysis in children

Lilien, Tassilo von; Salusky, Isidro B.; Boechat, Ines; Ettenger, Robert B.; Fine, Richard Ν.

doi:10.1016/s0022-3476(87)80110-5

Cited by 42 publications

(8 citation statements)

References 12 publications

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“…Isolation of the organisms depends upon culture techniques, concentration of the dialysate effluent, and lag times between obtaining and culturing peritoneal fluid. A similar high incidence of culture-negative peritonitis was observed in previous studies [6,9]. We observed a high rate of recurrent peritonitis (20 patients).…”

Section: Discussionsupporting

confidence: 91%

“…Our findings are consistent with previous reports [12,13] that persistent catheter-related infection is associated with recurrent peritonitis. A slightly high incidence of Candida peritonitis (6%) was observed in our study compared with other reports [6,9]. Peritoneal membrane loss should be prevented and minimized.…”

Section: Discussionsupporting

confidence: 48%

“…A literature review revealed that Gram-positive bacteria are a more frequent cause of CAPD peritonitis than Gramnegative bacteria [9,10]. The high incidence of Gramnegative infection (42%) observed by us could not be attributed to any definite factor.…”

Section: Discussionmentioning

confidence: 67%

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Peritonitis in continuous ambulatory peritoneal dialysis in children living in Saudi Arabia

Mirza

Elzouki

1997

Pediatric Nephrology

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The clinical aspects of peritonitis and catheter infections were reviewed in 64 children on continuous ambulatory peritoneal dialysis living in Saudi Arabia over a period of 6 years. Peritonitis occurred in 41 children (64%). The mean time from starting dialysis to the first episode of peritonitis was 7.2 months. The incidence of peritonitis was 1 episode in 9 treatment months. Gram-negative organisms were responsible for the majority of episodes (42%), followed by Gram-positive organisms (20%), and Candida albicans (6%); 32% were culture negative. Recurrent peritonitis was present in 20 cases. Catheter was replaced in 24 patients: 44% due to recurrent peritonitis. Peritoneal membrane loss occurred in 7 patients, 3 had Candida peritonitis and 3 had recurrent peritonitis due to Pseudomonas. The mortality rate was 4.6% but none of the deaths were related to peritonitis or dialysis.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 48%

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Peritonitis in continuous ambulatory peritoneal dialysis in children living in Saudi Arabia

Mirza

Elzouki

1997

Pediatric Nephrology

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“…Administration of recombinant human erythropoietin (rHuEpo) IV 3 times weekly helps patients avoid red blood cell transfusions. In the prerHuEpo era, transfusions were required once per 3.3 treatment months in pediatric PD patients [21] . Darbepoetin alfa, an EPO analogue, has a longer half-life and can be given every 2 weeks in pediatric patients with equal efficacy to the more frequent rHuEpo [22] .…”

Section: Anemiamentioning

confidence: 99%

A Review of Pediatric Chronic Kidney Disease

Kaspar

Bholah²,

Bunchman³

2016

Blood Purif

114

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“…With dependence on haemodialysis machines initially designed for adults and the lack of transplantation experience it was hardly surprising that many doubted the wisdom of offering RRT to children in the 1960s and 1970s [4]. However, the increasing experience of specialist units and the advent of chronic peritoneal dialysis in the 1980s enabled children to be treated successfully at home and at some distance from tertiary paediatric renal centres [5,6]. Such is the current expertise that in those units that have the resources, RRT can be offered from birth [7,8].…”

Section: Introductionmentioning

confidence: 99%

Psychosocial support for children and families requiring renal replacement therapy

Watson

2013

Pediatr Nephrol

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Chronic kidney disease (CKD) and the need for renal replacement therapy (RRT) can place a great strain on the child and family. As well as the medical and nutritional prescription, each child and family requires an individual psychosocial prescription that requires input from multiprofessional team members. The information needs of each child and family need to be constantly evaluated as well as the choice of therapy in relation to social, psychological and economic factors. Many tertiary units lack adequate "time" to deliver such assessments and coordinate the support and respite care for those on long-term dialysis, especially when significant numbers of children are now accepted onto RRT programmes with co-morbidities. National and international standards are needed for the staffing of comprehensive tertiary paediatric renal units as well as studies evaluating supportive care to families.

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Five years' experience with continuous ambulatory or continuous cycling peritoneal dialysis in children

Cited by 42 publications

References 12 publications

Peritonitis in continuous ambulatory peritoneal dialysis in children living in Saudi Arabia

Peritonitis in continuous ambulatory peritoneal dialysis in children living in Saudi Arabia

A Review of Pediatric Chronic Kidney Disease

Psychosocial support for children and families requiring renal replacement therapy

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