Peritoneal dialysis in Dalmatian County, Croatia: 21 years of a single‐center experience

Abstract

Introduction: With end-stage renal disease becoming more prevalent, the importance of continuous ambulatory peritoneal dialysis (CAPD) is expected to rise even more. However, CAPD is associated with several infections with peritonitis being of the biggest importance.Methods: We collected data regarding acute peritonitis episodes (APEs), date of birth and CAPD start, BMI, diabetes mellitus (DM) prevalence, year of renal disease discovery, and details about renal replacement therapies. Primary outcomes included death, transplantation, and a switch to hemodialysis (HD). Results: Hundred and twenty-nine men and 123 women were analyzed.63 patients had DM. The median age at the start of CAPD was 56. The median length of CAPD treatment was 24 months. In the end, 147 patients were still alive of which 97 were transplanted, 33 were on CAPD, and 26 were switched to HD. A total of 327 APE were observed. Conclusion: Although the incidence is decreasing, efforts are required to enhance the prevention and treatment of APE.

Peritoneal dialysis in Herzegovina, Federation of Bosnia and Herzegovina: 18 years of experience from our center

“…At the very beginnings of treating patients with this method in Herzegovina, microbiological analyzes of the dialysate were not performed for many patients who were presented with an AP image, but were treated empirically and in many cases in outpatient clinics. Therefore, we certainly do not have a complete insight into the microbiological isolates of AP, as well as Grubić et al who conducted a similar study in Croatia for the region of Dalmatia [30]. However, our study can assist in further better prevention and treatment of AP in our CAPD patients.…”