title: Pediatric Kidney Transplant: Experience at an Algerian Nephrology Department.
abstract: OBJECTIVE
  To evaluate the outcomes, complications, causes of graft loss, and patient and graft survival in pediatric renal transplant.
  
  
  METHODS
  We conducted a retrospective study using the records of 32 children who had a renal transplant between February 2007 and October 2014.
  
  
  RESULTS
  All donations were intrafamily, and all patients had a living donor: the patient's mother in 56.3%, the father in 40.6%, and a brother in 3.1%. The sex ratio was 0.77. Before transplant, 65.6% of patients were on hemodialysis, and 15.6% were on peritoneal dialysis. Preemptive transplant was performed in 3.1%. Medical complications occurred in 77% of patients; of these, 59% were urinary tract infections, and 9.83% were acute rejection. Surgical complications occurred in 22% of patients; 18.8% of these complications were urologic, and 3.2% were vascular. Patient and graft survival rates were estimated at 96.4% and 89.6% at 1 year and 83.4% and 65.5% at 7 years.
  
  
  CONCLUSIONS
  In our series, medical complications were more frequent than surgical, but the latter were the main cause of graft loss. Patient survival was generally good.
authors.affiliation: Department of Nephrology, University Hospital of Beni-Messous, Algiers, Algeria.
authors.forename: Ali
authors.initials: A
authors.lastname: Benziane
authors.forename: Saliha
authors.initials: S
authors.lastname: Boutennoune
mesh_terms: D000293:Adolescent; D000367:Age Factors; D000462:Algeria; D002648:Child; D002675:Child, Preschool; D005260:Female; D006085:Graft Survival; D006748:Hospital Departments; D006801:Humans; D007674:Kidney Diseases / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*; D016030:Kidney Transplantation / Q000009:adverse effects / Q000401:mortality; D019520:Living Donors; D008297:Male; D009398:Nephrology; D010372:Pediatrics; D010530:Peritoneal Dialysis; D011183:Postoperative Complications / Q000209:etiology; D006435:Renal Dialysis; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome