دورية أكاديمية
An audit of a decade of acute peritoneal dialysis in children with acute kidney injury: A single-center experience.
| العنوان: | An audit of a decade of acute peritoneal dialysis in children with acute kidney injury: A single-center experience. |
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| المؤلفون: | Ezeh GO; Department of Pediatrics, National Hospital, Abuja, Nigeria., Oniyangi O; Department of Pediatrics, National Hospital, Abuja, Nigeria., Nwatah VE; Department of Pediatrics, National Hospital, Abuja, Nigeria., Oyinwola OI; Department of Pediatrics, National Hospital, Abuja, Nigeria., Ekaidem IB; Department of Pediatrics, National Hospital, Abuja, Nigeria., Okonkwo FO; Department of Pediatrics, National Hospital, Abuja, Nigeria., Aikhionbare HA; Department of Child Health, University of Benin Teaching Hospital, Benin City, Nigeria. |
| المصدر: | Nigerian journal of clinical practice [Niger J Clin Pract] 2022 May; Vol. 25 (5), pp. 690-694. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Medknow Publications Country of Publication: India NLM ID: 101150032 Publication Model: Print Cited Medium: Internet ISSN: 1119-3077 (Print) NLM ISO Abbreviation: Niger J Clin Pract Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Mumbai : Medknow Publications Original Publication: [Lagos?] : Medical and Dental Consultants' Association of Nigeria |
| مواضيع طبية MeSH: | Acute Kidney Injury*/epidemiology , Acute Kidney Injury*/etiology , Acute Kidney Injury*/therapy , Peritoneal Dialysis*/adverse effects , Peritonitis* , Sepsis*/complications, Child ; Female ; Humans ; Male ; Retrospective Studies |
| مستخلص: | Background: Acute peritoneal dialysis (PD) is the modality of choice to manage children with acute kidney injury (AKI). However, its use remains underutilized, despite the unquestionable advantages. Aims: This study, therefore, aimed to audit the complications, outcomes, and challenges encountered with PD as well as indications for PD and causes of AKI among under-5 children that had PD in a Nigerian tertiary hospital over a decade. . Patients and Methods: : A retrospective study of children with AKI, aged 0 to 5 years, managed with PD. In all the children, a PD catheter was inserted at the bedside by surgeons. PD was performed manually. Data were presented in descriptive statistics and a P value <0.05 was considered significant. Results: Twenty-nine (29) children had PD over a decade (January 2009 to December 2018). There were 12 males and 17 females aged 4-60 months (mean ± SD 18.8 ± 16.9). The PD yearly frequency was 2-7 times/year, mean of 2.9/year. The major identified indication for PD was difficulty of vascular access (86.2%) while the causes of AKI were sepsis 21 (43.8%); gastroenteritis 11 (22.9%); severe malaria 9 (18.8%); toxins/herbal medications 5 (10.4%); multiple congenital anomalies 2 (4.2%). Multiple causes of AKI occurred in some children. The major observed PD complications were catheter lockage 9 (37.5%); dialysate fluid retention 4 (16.7%); and peritonitis 4 (16.7%). The short-term outcome of the 29 children that had PD showed 20 (69%) discharged and 9 (31%) deaths over the period. The major challenge encountered was PD-related sepsis evidenced by the prevalence of peritonitis and catheter site infection. Conclusion: The predominant PD complications were catheter-related, mostly catheter blockage in a manually performed PD while the leading cause of AKI in our center was sepsis, affecting a large population of children requiring PD. Competing Interests: None |
| فهرسة مساهمة: | Keywords: Acute kidney injury; children; peritoneal dialysis |
| تواريخ الأحداث: | Date Created: 20220520 Date Completed: 20220524 Latest Revision: 20220524 |
| رمز التحديث: | 20231215 |
| DOI: | 10.4103/njcp.njcp_1986_21 |
| PMID: | 35593614 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1119-3077 |
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| DOI: | 10.4103/njcp.njcp_1986_21 |