Infectious Complications of Peritoneal Dialysis in Children

Document Type

Book Chapter

Publication Date

3-2021

Identifier

DOI: 10.1007/978-3-030-66861-7_16

Abstract

Peritoneal dialysis (PD) remains the most common dialysis modality utilized for the management of children with end-stage kidney disease (ESKD) worldwide, particularly among very young children and in low-resource countries (NAPRTCS. NAPRTCS 2011 annual dialysis report, 2011; United States Renal Data System. National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases, 2018; Chesnaye et al. Pediatr Nephrol 29(12):2403–2410, 2014; Schaefer et al. Perit Dial Int 32(4):399–409, 2012). PD-related infections, including catheter exit-site and tunnel infections and peritonitis, are a significant complication of this therapy. Peritonitis is also the leading cause for hospitalization and technique failure among children on chronic PD (NAPRTCS. NAPRTCS 2011 annual dialysis report, 2011; United States Renal Data System. National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases, 2018; Chesnaye et al., Pediatr Nephrol 29(12):2403–2410, 2014; Schaefer et al., Perit Dial Int 32(4):399–409, 2012). This chapter will review the incidence and microbiology of PD-related infections in children as well as risk factors and preventative strategies, treatment, and outcomes.

Journal Title

Pediatric Dialysis

First Page

265

Last Page

290

Library Record

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