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Peritonitis in children on peritoneal dialysis in Cape Town, South Africa: epidemiology and risks
- Source :
- Pediatric Nephrology (Berlin, Germany), Pediatric Nephrology, 25, 10, pp. 2149-57, Pediatric Nephrology, 25, 2149-57
- Publisher :
- Springer Nature
-
Abstract
- Contains fulltext : 89800raaijmakers.pdf (Publisher’s version ) (Closed access) 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 rate and a longer time to first peritonitis episode. Peritonitis rate was high in this cohort, compared to numbers reported for the developed world; the characteristics of causative organisms are comparable. The most important risk factors for the development of peritonitis were poor housing and poor socio-economic circumstances. More intensive counseling may be beneficial, but improvement of general socio-economic circumstances will have the greatest influence on PD success. 01 oktober 2010
- Subjects :
- Male
medicine.medical_specialty
Energy and redox metabolism [NCMLS 4]
Adolescent
medicine.medical_treatment
Prevalence
Peritonitis
Peritoneal dialysis
Cohort Studies
South Africa
Internal medicine
Epidemiology
medicine
Humans
Pediatrics, Perinatology, and Child Health
Intensive care medicine
Child
Developing Countries
Renal disorder [IGMD 9]
Retrospective Studies
Outcome
Pediatric
business.industry
Socio-economic circumstances
Infant
Retrospective cohort study
medicine.disease
Risk factors
Nephrology
Child, Preschool
Pediatrics, Perinatology and Child Health
Cohort
Female
Original Article
Complication
business
Peritoneal Dialysis
Cohort study
Subjects
Details
- Language :
- English
- ISSN :
- 0931041X
- Volume :
- 25
- Issue :
- 10
- Database :
- OpenAIRE
- Journal :
- Pediatric Nephrology
- Accession number :
- edsair.doi.dedup.....6e62669cac3ddbbafda9969faa35aba9
- Full Text :
- https://doi.org/10.1007/s00467-010-1592-0