Bir Yaş Altındaki Hastalarda Periton Diyalizi Uygulamaları: Tek Merkez Deneyimi.

Objective: Peritoneal dialysis (PD) is the most commonly used renal replacement therapy in acute and chronic renal insufficiency during neonatal and infantile periods, but many problems are encountered in practice. The aim of the study is to identify the problems seen in PD applications in this group of patients. Material and Methods: Between 2002 and 2013, files of 39 patients under 1 year of age who underwent acute or chronic PD in our department were retrospectively reviewed. Patients in the neonatal and infantile group were compared in terms of PD applications and their complications. Results: Acute PD was performed in a total of 27 patients (15 newborns, 12 infants). Mean duration of acute PD was not different in newborns and infants (9.2±10.5 vs II.6±13.7 days). Complication rale was not different in newborns (173.3%) and in infants (91.6%) (p=0.183). Non-infectious complications were more frequent in newborns and the most common complication was pericatheter leakage. The catheter was replaced in 46.6% of the newborns and in 8.3% of the infants due to non-infectious complications. Mortality rates were 66.7% (n=10) in newborns and 58.3% (n=7) in infants (p=0.706). Chronic PD was performed in a total 12 patients (8 newborns, 4 infants). Mean followup duration of chronic PD was 30.6+25.3 months in newborns, and 23.5±23.2 months in infants. Although overall complication rate was not different between two groups, non-infectious complications such as pericatheter leakage, and catheter obstruction were more frequent in newborns (212.5% vs 175%) (p=0.035). Although infectious complications were more common in infants (150% vs 112.5%), there was no statistical significant difference between both groups (p=0.646). Mortality rates were found to be 50% (n=4) in newborns and 50% (n=2) in infants. Conclusion: The most important complications of acute and chronic PD in the newborns were pericatheter leakage and catheter obstruction while peritonitis was the most common problem in chronic infantile PD. [ABSTRACT FROM AUTHOR]