Risk Factors for Peritonitis in a Pediatric Dialysis Program in Guatemala, 2011–2014. (14th March 2016)

• Record Type: Journal Article
• Authors: Chinchilla, Jeda; Sebastián, Karla; Meléndez, Renato; Ramay, Brooke; Lou-Meda, Randall
• Other Names: Malhotra Deepak Academic Editor.
• Is Part Of: Advances in nephrology. Volume 2016(2016)
• Publication Date: 2016-03-14
• Subjects: Nephrology -- Periodicals; Nephrology; Nephrology; Electronic journals; Periodicals; 616.61
• DOI: 10.1155/2016/7179028
• Languages: English
• ISSNs: 2356-6779

Abstract

Abstract : Background. Peritonitis is the most common complication of peritoneal dialysis but there is limited data regarding peritonitis related risk factors in developing countries. Objective . Describe the PD program at Foundation for Children with Kidney Disease (FUNDANIER), in Guatemala, and identify peritonitis related risk factors in these patients. Methods . This retrospective open cohort study included medical records from FUNDANIER during 2011 to 2014. Baseline demographics, treatment modalities, caregivers' characteristics, and socioeconomic status were recorded. Results . Eighty-nine medical records were included with a treatment time of 1855 months. Median age of patients was 11.3 years (range 6–17). Median duration of PD therapy was 20.8 months (range 1–28). Sixty-eight peritonitis episodes were registered; forty-eight patients (54%) remained peritonitis-free. Median time to first peritonitis episode was 5 months (range 2–16). Peritonitis rate was one episode every 27 months or 0.44 episodes per patient-year. Peritonitis rate in patients with fair housing was 2.5 times higher than in those with good housing (CI = 1.0–5.2, p = 0.01 ). Conclusion . Housing conditions are a relevant risk factor related to peritonitis. Strategies toward preventing peritonitis must consider housing status, establishing adequate follow-up in high-risk patients. Close monitoring of technique serves to overcome understaffing issues in this setting.