title: [Continuous ambulatory peritoneal dialysis in Tunisia].
abstract: CAPD covers about 4% of renal replacement therapy patients in Tunisia. From February 1983 to 1988, 47 patients, 21 males and 26 females whose mean age was 36, 14 +/- 15 were treated. Their socio-cultural level was variable. The mean duration of therapy was 14.5 months/patient/year. The five years patient survival rate was 46% and the technique survival rate 21%. Most patients had a good general condition and were professionally rehabilitated. Peritonitis was the main complication: its incidence was 1.8 episodes/patient/year. Yeasts peritonitis were relatively frequent, specially in patients who had previously been treated with antibiotics. Peritonitis was often cured with a local and general treatment. Yearly CAPD cost was 1/3 lower than center hemodialysis and a better management allowed to decrease the expenses due to laboratory and X ray investigations and to hospitalization. On the basis of this clinical experience, we believe that CAPD is an efficient and valid therapeutic modality, less expensive than hemodialysis. It is probably a suitable renal replacement therapy in other centers in Tunisia and in other developing countries.
authors.affiliation: Service de Médecine interne et de Néphrologie, Hôpital Charles Nicolle, Tunis.
authors.forename: A
authors.initials: A
authors.lastname: el Matri
authors.forename: T
authors.initials: T
authors.lastname: Ben Abdallah
authors.forename: C
authors.initials: C
authors.lastname: Kechrid
authors.forename: H
authors.initials: H
authors.lastname: Ben Maiz
authors.forename: H
authors.initials: H
authors.lastname: Ben Ayed
mesh_terms: D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects / Q000191:economics / Q000706:statistics & numerical data*; D010538:Peritonitis / Q000209:etiology; D013997:Time Factors; D014416:Tunisia
vernacular_title: La dialyse péritonéale continue ambulatoire en Tunisie.