title: [Chronic peritoneal dialysis in infants--preliminary results of the multicenter survey].
abstract: We retrospectively analysed peritoneal dialysis treatment in 29 infants dialysed in 9 paediatric centres in Poland in the years 1993-2004. The mean age at the start of dialysis was 4.9 +/- 3.5 months (range 2 days to 11 months), mean body mass 5.6 +/- 2.5 kg (range 2.5 to 11 kg). The mean duration of PD was 6.8 +/- 3.9 in the first year of life and total duration of the therapy 34 +/- 27 months. Of the 29 infants 4 died (2 in infancy), 11 underwent renal transplantation, in 2 children PD was stopped (they received a conventional treatment) and 12 were still dialysed at the date of data collection. The peritonitis rate was 1/9.5 patient-month and exit site infection rate 1/16 patient-month up to 1 year of life. 9 children (31%) required hernia repairs and in 9 catheters were replaced. Chronic peritoneal dialysis in infants is associated with high risk of infections and surgical complications and remains a challenge for paediatric nephrologists.
authors.affiliation: Klinika Nefrologii i Dializoterapii, Instytutu Centrum Zdrowia Matki Polki, Lódź. iczmp.nefro@wp.pl
authors.forename: Anna
authors.initials: A
authors.lastname: Jander
authors.forename: Michał
authors.initials: M
authors.lastname: Nowicki
authors.forename: Marcin
authors.initials: M
authors.lastname: Tkaczyk
authors.forename: Irena
authors.initials: I
authors.lastname: Makulska
authors.forename: Danuta
authors.initials: D
authors.lastname: Zwolińska
authors.forename: Joanna
authors.initials: J
authors.lastname: Latoszyńska
authors.forename: Anna
authors.initials: A
authors.lastname: Boguszewska-Baczkowska
authors.forename: Ryszard
authors.initials: R
authors.lastname: Grenda
authors.forename: Irena
authors.initials: I
authors.lastname: Bałasz-Chmielewska
authors.forename: Ilona
authors.initials: I
authors.lastname: Zagozdzon
authors.forename: Iga
authors.initials: I
authors.lastname: Załuska-Leśniewska
authors.forename: Aleksandra
authors.initials: A
authors.lastname: Zurowska
authors.forename: Ewa
authors.initials: E
authors.lastname: Stefaniak
authors.forename: Jacek
authors.initials: J
authors.lastname: Zachwieja
authors.forename: Barbara
authors.initials: B
authors.lastname: Leszczyńska
authors.forename: Maria
authors.initials: M
authors.lastname: Roszkowska-Blaim
authors.forename: Katarzyna
authors.initials: K
authors.lastname: Zachwieja
authors.forename: Jacek A
authors.initials: JA
authors.lastname: Pietrzyk
authors.forename: Ryszard
authors.initials: R
authors.lastname: Wierciński
authors.forename: Walentyna
authors.initials: W
authors.lastname: Zoch-Zwierz
authors.forename: Roman
authors.initials: R
authors.lastname: Stankiewicz
mesh_terms: D015984:Causality; D015897:Comorbidity; D006547:Hernia / Q000453:epidemiology; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007239:Infections / Q000453:epidemiology*; D010530:Peritoneal Dialysis / Q000706:statistics & numerical data*; D010538:Peritonitis / Q000453:epidemiology* / Q000628:therapy*; D011044:Poland / Q000453:epidemiology; D011159:Population Surveillance; D012189:Retrospective Studies; D015996:Survival Rate