[Chronic peritoneal dialysis in infants--preliminary results of the multicenter survey].
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.
Jander
Anna
A
Klinika Nefrologii i Dializoterapii, Instytutu Centrum Zdrowia Matki Polki, Lódź. iczmp.nefro@wp.pl
Nowicki
Michał
M
Tkaczyk
Marcin
M
Makulska
Irena
I
Zwolińska
Danuta
D
Latoszyńska
Joanna
J
Boguszewska-Baczkowska
Anna
A
Grenda
Ryszard
R
Bałasz-Chmielewska
Irena
I
Zagozdzon
Ilona
I
Załuska-Leśniewska
Iga
I
Zurowska
Aleksandra
A
Stefaniak
Ewa
E
Zachwieja
Jacek
J
Leszczyńska
Barbara
B
Roszkowska-Blaim
Maria
M
Zachwieja
Katarzyna
K
Pietrzyk
Jacek A
JA
Wierciński
Ryszard
R
Zoch-Zwierz
Walentyna
W
Stankiewicz
Roman
R
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