Peritonitis in children on peritoneal dialysis in Cape Town, South Africa: epidemiology and risks.

Pediatric Nephrology : Journal of the International Pediatric Nephrology Association
Renske RaaijmakersPeter Nourse

Abstract

Peritonitis is a frequent complication of peritoneal dialysis (PD) in children as well in adults. Data on PD and peritonitis in pediatric patients are very scarce in developing countries. A retrospective cohort study was performed between 2000 and 2008 with the aim to evaluate PD treatment and peritonitis epidemiology in pediatric patients in South Africa and identify risk factors for peritonitis. Baseline characteristics and potential risk factors of peritonitis were recorded, including housing, socio-economic circumstances, distance to PD center, type of PD, mode of catheter placement, race, presence of gastrostomy tube, weight, and height. Outcome indices for peritonitis were peritonitis rate, time to first peritonitis, and number of peritonitis-free patients. The patient cohort comprised 67 patients who were on PD for a total of 544 months. The total number of peritonitis episodes was 129. Median peritonitis rate was one episode every 4.3 patient months (2.8 episodes/patient-year, range 0-21.2). Median time to first infection was 2.03 months (range 0.1-21.5 months), and 28.4% of patients remained free from peritonitis. Patients with good housing and good socio-economic circumstances had a significantly lower peritonitis rat...Continue Reading

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Citations

Oct 29, 2011·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Marta AdragnaLiliana Briones
Nov 2, 2015·Néphrologie & thérapeutique·Manel JellouliTahar Gargah
Jan 29, 2014·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Aditi Sinha, Arvind Bagga
Jan 10, 2012·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Piotr AdamczykKatarzyna Ziora
Nov 11, 2018·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Cecil Steven LevyJennifer Geel
Aug 2, 2018·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Mulalo NepfumbadaRajendra Bhimma
Jan 31, 2020·BMC Pediatrics·Khamisa Al MokaliAnwar E Ahmed
Jun 13, 2020·Sudanese Journal of Paediatrics·Mahdi Qasem Farah FrehatReham Al Mardini

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