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  • Title: [Chronic peritoneal dialysis in infants--preliminary results of the multicenter survey].
    Author: Jander A, Nowicki M, Tkaczyk M, Makulska I, Zwolińska D, Latoszyńska J, Boguszewska-Baczkowska A, Grenda R, Bałasz-Chmielewska I, Zagozdzon I, Załuska-Leśniewska I, Zurowska A, Stefaniak E, Zachwieja J, Leszczyńska B, Roszkowska-Blaim M, Zachwieja K, Pietrzyk JA, Wierciński R, Zoch-Zwierz W, Stankiewicz R.
    Journal: Przegl Lek; 2006; 63 Suppl 3():72-4. PubMed ID: 16898493.
    Abstract:
    We retrospectively analysed peritoneal dialysis treatment in 29 infants dialysed in 9 paediatric centres in Poland in the years 1993-2004. The mean age at the start of dialysis was 4.9 +/- 3.5 months (range 2 days to 11 months), mean body mass 5.6 +/- 2.5 kg (range 2.5 to 11 kg). The mean duration of PD was 6.8 +/- 3.9 in the first year of life and total duration of the therapy 34 +/- 27 months. Of the 29 infants 4 died (2 in infancy), 11 underwent renal transplantation, in 2 children PD was stopped (they received a conventional treatment) and 12 were still dialysed at the date of data collection. The peritonitis rate was 1/9.5 patient-month and exit site infection rate 1/16 patient-month up to 1 year of life. 9 children (31%) required hernia repairs and in 9 catheters were replaced. Chronic peritoneal dialysis in infants is associated with high risk of infections and surgical complications and remains a challenge for paediatric nephrologists.
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