EXPERIENCE OF PERITONEAL DIALYSIS IN RENAL FAILURE IN CHILDREN

Peritoneal Dialysis in Renal Failure

Abstract

Objective: To determine the course and efficacy of peritoneal dialysis in children presenting with renal failure.
Study Design: Quasi experimental study.
Place and Duration of Study: The study was conducted at the Nephrology department of Children’s Hospital and Institute of Child Health Lahore from Feb 2007 to Feb 2008.
Material and Methods: Forty children diagnosed with renal failure at the Nephrology department of Children’s Hospital and Institute of Child Health, Lahore were evaluated for the efficacy of PD, duration of PD and the associated complications.
Results: There were 55% cases of acute renal failure and 45% cases of chronic renal failure. The mean duration of PD was 3.8 days. About 75% of all the patients improved with PD. The mortality rate was 22.5%. Leading complications were Catheter-related (leakage/blockade) and peritonitis.
Conclusion: We concluded that peritoneal dialysis is lifesaving procedure which improves the acute metabolic derangements of renal failure in children. It is associated with certain complications but the benefits outweigh the complications.