Download PDF

ES Journal of Clinical Medicine

ISSN: 2768-010X

Treatment of Acute Renal Failure in Children by Peritoneal Dialysis

  • Research Article

  • A Seba*
  • Department of Nephrology, Tizi Ouzou Hospital University, Algeria
  • *Corresponding author: A Seba, Nephrology Department, University Hospital, Tizi Ouzou, Algeria
  • Received: Mar 03, 2020; Accepted: Mar 24, 2020; Published: Mar 26, 2020

Abstract

This work report our experience during ten years (2006 to 2016), in peritoneal dialysis applied to children with acute Kidney failure.We retrospectively studied 15 children cases with acute kidney failure treated with peritoneal dialysis average age was 3 years with a range from newborn to 15.5 years old, male in 86% and only 14% female. Our findings are: etiology is a hemolytic-uremic syndrome (SHC) in 100% of cases. They received continuous ambulatory peritonial dialysis (CAPD) with symptomatic treatment: transfusion of red blood cells in 53% of cases, antihypertensive treatment in 23% of the cases, platelet transfusion in 11% of cases, only one patient benefits from a specific treatment based on eculizumab. The placement of the catheter was surgical in all the cases. Indications for dialysis was anuria in 4 cases, volume overload in 8 cases, Uremia in 4 cases and Hyperkalemia in 3 cases. The children were dialysed for a average period of 10 days. Dialysis began with a volume of 10 ml/kg. One patient developed a bacterial peritonitis. Recovery occurred in 80% of the cases, 13% died and 6% developed. end-stage renal desease (ESRD).