The management of anemia in pediatric peritoneal dialysis patients. Guidelines by an ad hoc European committee

Cornelis H. Schröder, A. Edefonti, M. Fischbach, G. Klaus, K. Rönnholm, F. Schaefer, E. Simkova, D. Stefanidis, V. Strazdins, J. Vande Walle, A. Watson, A. Zurowska

Research output: Contribution to journalArticlepeer-review

Abstract

Anemia is common in chronic renal failure. Guidelines for the diagnosis and treatment of anemia in adult patients are available. With respect to the diagnosis and treatment in children on peritoneal dialysis, the European Pediatric Peritoneal Dialysis Working Group (EPPWG) has produced guidelines. After a thorough diagnostic work-up, treatment should aim for a target hemoglobin concentration of at least 11 g/l. This can be accomplished by the administration of erythropoietin and iron preparations. Although there is sufficient evidence to advocate the intraperitoneal administration of erythropoietin, most pediatric nephrologists still apply erythropoietin by the subcutaneous route. Iron should preferably be prescribed as an oral preparation. Sufficient attention has to be paid to the nutritional intake in these children. There is no place for carnitine supplementation in the treatment of anemia in pediatric peritoneal dialysis patients.

Original languageEnglish
Pages (from-to)805-809
Number of pages5
JournalPediatric Nephrology
Volume18
Issue number8
DOIs
Publication statusPublished - Aug 1 2003

Keywords

  • Carnitine
  • Children
  • Erythropoietin
  • Iron
  • Peritoneal dialysis

ASJC Scopus subject areas

  • Nephrology
  • Pediatrics, Perinatology, and Child Health

Fingerprint

Dive into the research topics of 'The management of anemia in pediatric peritoneal dialysis patients. Guidelines by an ad hoc European committee'. Together they form a unique fingerprint.

Cite this