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

Abstract

IntroductionDue to treatment of end‐stage‐renal‐disease (ESRD), continuous peritoneal dialysis (CAPD) is used in 11% of cases and is associated with several PD‐associated infections.MethodsClinical data on 71 patients with CAPD were evaluated in addition to exit site infections and episodes of acute peritonitis (AP).ResultsThere were 39 men and 32 women. Average age was 61 years when we began CAPD and average time spent on CAPD program was 3.35 years. Illness that dominantly caused ESRD was diabetes (23 patients). Exit site infection was mostly caused by S epidermidis‐MRSE and AP was most commonly caused by Staphylococcus sp. group. Most common cause of death was cardiovascular disease. At the end of this study, 9 patients were alive and still on CAPD, 10 were transplanted, 15 switched to HD and 36 died.ConclusionOptimal prevention measures and treatment of infectious complications in CAPD is necessary for better treatment possibilities.

Global Perspective on Kidney Transplantation: Bosnia and Herzegovina

“…Dialysis is funded by state insurance and hemodialysis dominates, although peritoneal dialysis programs also exist. 1 According to European Renal Association (ERA) registry data, 2 428 patients started dialysis in 2021 (121 pmp), with diabetic nephropathy as the most common underlying diagnosis, followed by hypertension and GN. The number of prevalent patients on dialysis in the same year was 2392 (680 pmp), which is comparable with similar Eastern European countries, such as Serbia (869 pmp) and Croatia (647 pmp).…”