Peritoneal Dialysis in Children

Document Type

Book Chapter

Publication Date

11-2022

Identifier

DOI: 10.1002/9781119105954.ch65

Abstract

Peritoneal dialysis (PD) is the most popular chronic dialysis modality in children worldwide. Acute kidney injury is a common complication among hospitalized children and in severe cases renal replacement therapy may be instituted. Automated peritoneal dialysis is the predominant PD modality prescribed for children in nonresource limited countries due in part to the social advantages of nocturnal therapy over daytime PD that are characteristic of continuous ambulatory peritoneal dialysis. Peritonitis and catheter-related infections are the primary cause of catheter removal, morbidity, and treatment failure in children who receive chronic PD. Few trials exist examining treatment of peritonitis in the pediatric population. Risk factors and their association with mortality in children on PD are commonly reported, but all studies suffer from the lack of inclusion of children not pursuing renal replacement therapy, transitioning between dialysis modalities, and a short duration of dialysis therapy prior to renal transplantation.

Journal Title

Evidence-Based Nephrology

Volume

Second Edition

First Page

399

Last Page

411

Keywords

automated peritoneal dialysis; children modality; peritoneal dialysis; peritonitis; renal replacement therapy

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