Peritoneal dialysis in children. Review of 8 years' experience. Issue 1 (January 1977)

• Record Type: Journal Article
• Authors: Day, R E; White, R H
• Is Part Of: Archives of disease in childhood. Volume 52:Issue 1(1977)
• Page Start: 56
• Page End: 61
• Publication Date: 1977-01
• Subjects: Children -- Diseases -- Periodicals; Infants -- Diseases -- Periodicals; 618.920005
• DOI: 10.1136/adc.52.1.56
• Languages: English
• ISSNs: 0003-9888

Abstract

Abstract : During the years 1968-75, 59 periods of peritoneal dialysis were performed on 44 children aged from 2 days to 17 years. The commonest complication was peritoneal infection, which affected 68% of those under 2 years and 30% of older children. This was satisfactorily treated in all but one case which was due to Candida albicans. The use of combined intramuscular and intraperitoneal gentamicin therapy is described. 2 patients died as a result of massive intraperitoneal haemorrhage and one had a nonfatal intestinal perforation. In experienced hands peritoneal dialysis is a convenient, effective, and reasonably safe way of treating acute renal failure; it is best performed in centres capable of handling complex metabolic problems and investigating and treating the underlying renal disease.