Childhood Kidney Diseases

Korean Society of Pediatric Nephrology (대한소아신장학회)
권호 표지
DOI QR코드

DOI QR Code

Infectious and Non-infectious Complications of Peritoneal Dialysis in Children

  • Cho, Min Hyun (Department of Pediatrics, Kyungpook National University, School of Medicine)
  • Received : 2020.07.22
  • Accepted : 2020.08.12
  • Published : 2020.10.31
Download PDF
⟨ Previous Next ⟩

Abstract

Despite the many advantages of peritoneal dialysis (PD) in children with end-stage renal disease, there exist redoubtable complications of PD that should be overcome. To prevent and manage these complications, a multidisciplinary team should provide support highly tailored for each child and family, based on the standardized practice guidelines for the management of pediatric PD. In this review, we summarize the clinical manifestations and management of several complications of PD.

Keywords

References

  1. Woodrow G, Fan SL, Reid C, Denning J, Pyrah AN. Renal Association Clinical Practice Guideline on peritoneal dialysis in adults and children. BMC Nephrol 2017;18:333. https://doi.org/10.1186/s12882-017-0687-2
  2. Borzych-Duzalka D, Aki TF, Azocar M, White C, Harvey E, Mir S, et al. Peritoneal Dialysis Access Revision in Children: Causes, Interventions, and Outcomes. Clin J Am Soc Nephrol 2017;12:105-12. https://doi.org/10.2215/CJN.05270516
  3. Warady BA, Bakkaloglu S, Newland J, Cantwell M, Verrina E, Neu A, et al. Consensus guidelines for the prevention and treatment of catheter-related infections and peritonitis in pediatric patients receiving peritoneal dialysis: 2012 update. Perit Dial Int 2012;32 Suppl 2:S32-86.
  4. Li PK, Szeto CC, Piraino B, de Arteaga J, Fan S, Figueiredo AE, et al. ISPD Peritonitis Recommendations: 2016 Update on Prevention and Treatment. Perit Dial Int 2016;36:481-508. https://doi.org/10.3747/pdi.2016.00078
  5. Swartz SJ, Neu A, Skversky Mason A, Richardson T, Rodean J, Lawlor J, et al. Exit site and tunnel infections in children on chronic peritoneal dialysis: findings from the Standardizing Care to Improve Outcomes in Pediatric End Stage Renal Disease (SCOPE) Collaborative. Pediatr Nephrol 2018;33:1029-35. https://doi.org/10.1007/s00467-018-3889-3
  6. Schaefer F, Klaus G, Muller-Wiefel DE, Mehls O. Intermittent versus continuous intraperitoneal glycopeptide/ceftazidime treatment in children with peritoneal dialysis-associated peritonitis. The Mid-European Pediatric Peritoneal Dialysis Study Group (MEPPS). J Am Soc Nephrol 1999;10:136-45. https://doi.org/10.1681/ASN.V101136
  7. Chadha V, Schaefer FS, Warady BA. Dialysis-associated peritonitis in children. Pediatr Nephrol 2010;25:425-40. https://doi.org/10.1007/s00467-008-1113-6
  8. Lee KO, Park SJ, Kim JH, Lee JS, Kim PK, Shin JI. Outcomes of peritonitis in children on peritoneal dialysis: a 25-year experience at Severance Hospital. Yonsei Med J 2013;54:983-9. https://doi.org/10.3349/ymj.2013.54.4.983
  9. Munshi R, Sethna CB, Richardson T, Rodean J, Al-Akash S, Gupta S, et al. Fungal peritonitis in the Standardizing Care to Improve Outcomes in Pediatric End Stage Renal Disease (SCOPE) Collaborative. Pediatr Nephrol 2018;33:873-80. https://doi.org/10.1007/s00467-017-3872-4
  10. Sethna CB, Bryant K, Munshi R, Warady BA, Richardson T, Lawlor J, et al. Risk Factors for and Outcomes of Catheter-Associated Peritonitis in Children: The SCOPE Collaborative. Clin J Am Soc Nephrol 2016;11:1590-6. https://doi.org/10.2215/CJN.02540316
  11. Kim JE, Park SJ, Oh JY, Kim JH, Lee JS, Kim PK, et al. Noninfectious Complications of Peritoneal Dialysis in Korean Children: A 26-Year Single-Center Study. Yonsei Med J 2015;56:1359-64. https://doi.org/10.3349/ymj.2015.56.5.1359
  12. Fraser N, Hussain FK, Connell R, Shenoy MU. Chronic peritoneal dialysis in children. Int J Nephrol Renovasc Dis 2015;8:125-37. https://doi.org/10.2147/IJNRD.S82419
  13. Radtke J, Lemke A, Kemper MJ, Nashan B, Koch M. Surgical complications after peritoneal dialysis catheter implantation depend on children's weight. J Pediatr Surg 2016;51:1317-20. https://doi.org/10.1016/j.jpedsurg.2015.12.005
  14. Lemoine C, Keswani M, Superina R. Factors associated with early peritoneal dialysis catheter malfunction. J Pediatr Surg 2019;54:1069-75. https://doi.org/10.1016/j.jpedsurg.2019.01.042
  15. Phan J, Stanford S, Zaritsky JJ, DeUgarte DA. Risk factors for morbidity and mortality in pediatric patients with peritoneal dialysis catheters. J Pediatr Surg 2013;48:197-202. https://doi.org/10.1016/j.jpedsurg.2012.10.035
  16. Cribbs RK, Greenbaum LA, Heiss KF. Risk factors for early peritoneal dialysis catheter failure in children. J Pediatr Surg 2010;45:585-9. https://doi.org/10.1016/j.jpedsurg.2009.06.019
  17. Bae IE, Chung WK, Choi ST, Kang J. Laparoscopic internal fixation is a viable alternative option for continuous ambulatory peritoneal dialysis catheter insertion. J Korean Surg Soc 2012;83:381-7. https://doi.org/10.4174/jkss.2012.83.6.381
  18. Shroff R, Stefanidis CJ, Askiti V, Edefonti A, Testa S, Ekim M, et al. Encapsulating peritoneal sclerosis in children on chronic PD: a survey from the European Paediatric Dialysis Working Group. Nephrol Dial Transplant 2013;28:1908-14. https://doi.org/10.1093/ndt/gfs603
  19. Kawaguchi Y, Kawanishi H, Mujais S, Topley N, Oreopoulos DG. Encapsulating peritoneal sclerosis: definition, etiology, diagnosis, and treatment. International Society for Peritoneal Dialysis Ad Hoc Committee on ultrafiltration management in peritoneal dialysis. Perit Dial Int 2000;20(Suppl 4):S43-S55.
  20. Hoshii S, Honda M, Itami N, Oh S, Matsumura C, Moriya S, et al. Sclerosing encapsulating peritonitis in pediatric peritoneal dialysis patients. Pediatr Nephrol 2000;14:275-9. https://doi.org/10.1007/s004670050758
  21. Stefanidis CJ, Shroff R. Encapsulating peritoneal sclerosis in children. Pediatr Nephrol 2014;29:2093-103. https://doi.org/10.1007/s00467-013-2672-8
  22. van Asseldonk JP, Schroder CH, Severijnen RS, de Jong MC, Monnens LA. Infectious and surgical complications of childhood continuous ambulatory peritoneal dialysis. Eur J Pediatr 1992;151:377-80. https://doi.org/10.1007/BF02113262
  23. Mactier RA, Sprosen TS, Gokal R, Williams PF, Lindbergh M, Naik RB, et al. Bicarbonate and bicarbonate/lactate peritoneal dialysis solutions for the treatment of infusion pain. Kidney Int 1998;531061-7. https://doi.org/10.1111/j.1523-1755.1998.00849.x
  24. Lew SQ. Hemoperitoneum: bloody peritoneal dialysate in ESRD patients receiving peritoneal dialysis. Perit Dial Int 2007;27:226-33. https://doi.org/10.1177/089686080702700303