Clinical experience in the treatment of infants with chronic peritoneal dialysis.

E. Verrina, G. Zacchello, F. Perfumo, A. Edefonti, P. Sorino, S. Bassi, B. Andreetta, D. Cattarelli, G. Capasso, G. Consalvo

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Abstract

Chronic peritoneal dialysis (CPD) is the first treatment modality for most infants with end-stage renal failure; this group of patients shows peculiar clinical and technical problems. We present the data from a National Registry on 22 children starting CPD under one year of age, representing 11.6% of the total population of the Registry (189 patients). Mean weight at start of CPD was 6.1 +/- 1.8 kg and duration of dialysis was 22.1 +/- 15.5 months. During the follow-up period, 9 patients were transplanted, 1 was shifted to hemodialysis, and 4 died. Patient survival was 89.1% and 82.2% at 1 and 2 years (97.9% and 96.5% in the group of 167 older children); technique survival results were 89.1% at 1 year and 77.1% at 2 years (vs 92.5% and 85.7%, respectively). The incidence of peritonitis was 1 episode every 15.6 CPD-months (1:16.1 in the older children). Catheter-related complications occurred more frequently in infants (1:11.8 vs 1:17 episode:CPD-months), even if this difference was not statistically significant. Statural growth was on average -0.29 +/- 0.66 SD/year with a significant improvement between the first (-0.50 +/- 0.79) and the second (+0.23 +/- 0.77) year of CPD. Our data confirm that infants represent a higher risk group and that they can be treated satisfactorily with CPD while awaiting renal transplantation.

Original languageEnglish
Pages (from-to)281-284
Number of pages4
JournalAdvances in peritoneal dialysis. Conference on Peritoneal Dialysis
Volume11
Publication statusPublished - 1995

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Verrina, E., Zacchello, G., Perfumo, F., Edefonti, A., Sorino, P., Bassi, S., Andreetta, B., Cattarelli, D., Capasso, G., & Consalvo, G. (1995). Clinical experience in the treatment of infants with chronic peritoneal dialysis. Advances in peritoneal dialysis. Conference on Peritoneal Dialysis, 11, 281-284.