Abstract

DURAN CASAL, Diana Patricia; FLORIN YRABIEN, José; CARRILLO, Belkis Adam  and  HERNANDEZ ALFONSO, Hermes. Ambulatory peritoneal dialysis-related infectious complications in children. Rev Cubana Pediatr [online]. 2013, vol.85, n.4, pp.448-454. ISSN 0034-7531.

Introduction: peritoneal analysis is the best therapeutic alternative for children suffering terminal chronic renal disease and it has allowed, in the ambulatory peritoneal dialysis variant, providing out of hospital treatment to improve life style and quality. It is not risk-free method since the peritoneal dialysis-related infectious complications are the most important cause of morbidity, being peritonitis the main one. Objective: to retrospectively determine the frequency and the characteristics of dialysis-related infectious complications. Methods: our hospital is a point of reference in the country as pediatric dialysis unit where most of children with terminal chronic renal disease in Cuba are referred to. The medical histories of children with this type of disease, who were included in the ambulatory peritoneal dialysis program of Centro Habana pediatric hospital for the 2008-2011 period, were checked over. Results: twelve patients aged 11 years as average were studied. Fifty eight percent were girls. Twenty four infectious events were documented. The most frequent complications were infection at the outlet site of the catheter (62.5 %), peritonitis (33.3 %) and submucous tunnel infection (4.2 %). Positive cultures to Grampositive bacteria (66.7 %) were predominant. The most common bacteria were positive Staphylococcus coagulase (48 %) and negative Staphylococcus coagulase (22 %). Other germs were E E. coli, Enterobacter spp. and Candida spp, with 8.3 %, respectively. Conclusions: the most frequent complication was infection at the outlet site of the catheter in our sample. The most common germs were Grampositive bacteria that cause this type of infection and peritonitis in patients under ambulatory peritoneal dialysis treatment.

Keywords : ambulatory peritoneal dialysis; terminal chronic renal disease; infectious complications; infection at the outlet site; peritonitis.

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