Continuous ambulatory peritoneal dialysis in children. 1992

E I Rfidah, and D G Gill, and T Ni Dhomhnaill, and H Shortt
Children's Hospital, Dublin.

Fifteen children with end-stage renal failure (ESRF) were treated with continuous ambulatory peritoneal dialysis (CAPD) in the Children's Hospital Temple Street Dublin between July 1984 and December 1988. These fifteen children had 150.5 treatment months, an average of 10.03 treatment months for each child. The children grew well during CAPD at an average of 0.59 cm per month. Blood pressure control was satisfactory with five out of 15 children requiring antihypertensive treatment during CAPD. The main complications of CAPD were peritonitis and catheter related problems. These 15 children experienced 47 episodes of peritonitis during 150.5 treatment months on CAPD with an average of one episode every 3.2 treatment months. Two of these children had a very high frequency of peritonitis (16 and 13 episodes each). If we exclude them from analysis, the remaining 13 children had frequency of one episode every 5.7 treatment months. During 150.5 treatment months, ten children required catheter replacement that is one catheter every 15 treatment months. One child died of candida peritonitis and to date twelve have proceeded to renal transplantation.

UI MeSH Term Description Entries
D007223 Infant A child between 1 and 23 months of age. Infants
D007676 Kidney Failure, Chronic The end-stage of CHRONIC RENAL INSUFFICIENCY. It is characterized by the severe irreversible kidney damage (as measured by the level of PROTEINURIA) and the reduction in GLOMERULAR FILTRATION RATE to less than 15 ml per min (Kidney Foundation: Kidney Disease Outcome Quality Initiative, 2002). These patients generally require HEMODIALYSIS or KIDNEY TRANSPLANTATION. ESRD,End-Stage Renal Disease,Renal Disease, End-Stage,Renal Failure, Chronic,Renal Failure, End-Stage,Chronic Kidney Failure,End-Stage Kidney Disease,Chronic Renal Failure,Disease, End-Stage Kidney,Disease, End-Stage Renal,End Stage Kidney Disease,End Stage Renal Disease,End-Stage Renal Failure,Kidney Disease, End-Stage,Renal Disease, End Stage,Renal Failure, End Stage
D008297 Male Males
D010531 Peritoneal Dialysis, Continuous Ambulatory Portable peritoneal dialysis using the continuous (24 hours a day, 7 days a week) presence of peritoneal dialysis solution in the peritoneal cavity except for periods of drainage and instillation of fresh solution. CAPD,Continuous Ambulatory Peritoneal Dialysis
D010538 Peritonitis INFLAMMATION of the PERITONEUM lining the ABDOMINAL CAVITY as the result of infectious, autoimmune, or chemical processes. Primary peritonitis is due to infection of the PERITONEAL CAVITY via hematogenous or lymphatic spread and without intra-abdominal source. Secondary peritonitis arises from the ABDOMINAL CAVITY itself through RUPTURE or ABSCESS of intra-abdominal organs. Primary Peritonitis,Secondary Peritonitis,Peritonitis, Primary,Peritonitis, Secondary
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D002675 Child, Preschool A child between the ages of 2 and 5. Children, Preschool,Preschool Child,Preschool Children
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

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