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Published in: Pediatric Nephrology 9/2004

01-09-2004 | Original Article

Risk factors for catheter-related complications in pediatric peritoneal dialysis

Authors: Khawla A. Rahim, Kristy Seidel, Ruth A. McDonald

Published in: Pediatric Nephrology | Issue 9/2004

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Abstract

Catheter-related complications, including infection, dialysate leak, and malfunction, are the principal causes of peritoneal dialysis (PD) failure. To determine risk factors predisposing to these complications, we conducted a retrospective study of 90 children on chronic PD who received 127 catheters from January 1990 to December 2000. There was a significant risk for dialysate leak when PD catheters were used early (≤14 days post placement) versus delayed use (>14 days). There was no significant difference in malfunction and infection rate between early and delayed use groups. Weight and height <5th percentile, low serum albumin, and history of abdominal surgery were not associated with an increased risk of complications. History of dialysis prior to catheter placement and presence of a gastrostomy tube (G-tube) were both associated with significant infection risk. Patients ≤3 years old were more likely to have a G-tube and had an increased risk of infection. We conclude that delayed use of the PD catheter led to a lower incidence of dialysate leak but had no effect on infection rate. Young age, G-tube, and history of prior dialysis are risk factors for infection. Multi-center, prospective controlled studies involving larger numbers of children are important to confirm these findings.
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Metadata
Title
Risk factors for catheter-related complications in pediatric peritoneal dialysis
Authors
Khawla A. Rahim
Kristy Seidel
Ruth A. McDonald
Publication date
01-09-2004
Publisher
Springer-Verlag
Published in
Pediatric Nephrology / Issue 9/2004
Print ISSN: 0931-041X
Electronic ISSN: 1432-198X
DOI
https://doi.org/10.1007/s00467-004-1520-2

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