Outcome of Immediate Use of the Permanent Peritoneal Dialysis Catheter in Children with Acute and Chronic Renal Failure

Ahmad-Ali Nikibakhsh; Hashem Mahmoodzadeh; Mohamad Vali; Ali Enashaei; Abdolreza Asem; Zahra Yekta

IJ Pediatrics

The Scientific Journal of Growth & Development Research Center

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Outcome of Immediate Use of the Permanent Peritoneal Dialysis Catheter in Children with Acute and Chronic Renal Failure

Author(s):

Ahmad-Ali Nikibakhsh^1,*,

Hashem Mahmoodzadeh²,

Mohamad Vali³,

Ali Enashaei⁴,

Abdolreza Asem⁵,

Zahra Yekta⁶

IJ Pediatrics:Vol. 23, issue 2; 171-176

Published online:Dec 29, 2012

Article type:Research Article

Received:Sep 16, 2012

Accepted:Nov 17, 2012

How to Cite:Ahmad-Ali NikibakhshHashem MahmoodzadehMohamad ValiAli EnashaeiAbdolreza AsemZahra Yektaet al.Outcome of Immediate Use of the Permanent Peritoneal Dialysis Catheter in Children with Acute and Chronic Renal Failure.Iran J Pediatr.23(2):171-176.

Abstract

Objective: Peritoneal dialysis remains the only available option for patients which need immediate dialysis and it could be a bridge between end-stage renal failure (ESRD) and transplantation. There is a paucity of published experience of children with immediate use of permanent Tenckhoff Catheter for peritoneal dialysis from developing countries. In this study we report our experience on immediate use of permanent peritoneal access and continued peritoneal dialysis for a prolonged time.
Methods: Fifty six patients were studied including 30 males and 26 females within the age range of 1 month to 14 years with mean age of 6.5 years in Urmia, Northwest Iran.
Findings: No operative morbidity was seen. During a total of 499.5 continuous ambulatory peritoneal dialysis months, 16 patients had 28 episodes of peritonitis, which means a overall result of one episode per 17.8 months. There were 3 patients (5.35%) with catheter site leakage, 12 (21.4%) catheter obstructions (which led to omentectomy), 4 (7.2%) exit site infections (2 patients in the early postoperative period and 2 patients in during follow up). Death due to catheter related complications occurred in 1 per 56 patients and due to non-catheter related causes in 10 per 56 patients.
Conclusion: Present results indicate that catheter-related complications were not higher than those previously reported and peritoneal dialysis could be initiated immediately after catheter implantation and could be a safe bridge between end-stage renal failure (ESRD) and transplantation.

Keywords

Peritoneal Dialysis

End-Stage Renal Failure

Complications

Peritonitis

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