THE PERITONEAL DIALYSIS TREATMENT IN DIALYSIS CENTRE NOVO MESTO
Abstract
Background. In the article the development, basic principle and technical basis of peritoneal dialysis (PD), as one of the three methods of renal replacement therapy (RRT), are presented. In addition the PD treatment in dialysis centre Novo mesto from 1994 to 2003 is described.
Methods. All available hospital records of 40 patients treated with PD over 9 years in dialysis centre were reviewed retrospectively. The authors were interested in age structure of patients, the causes of end-stage renal disease (ESRD), the course of treatment and complications that had arisen with PD.
Results. PD was the first treatment option for 35 patients. There were 28.6% older than 55 years and 17.1% older than 65. The leading causes of ESRD are diabetic nephropathy and the group of glomerular diseases (especially IgA nephropathy) – both in 25% of patients, as well as polycystic kidney disease (in 15%). The noninfectious complications and peritonitis are presented. The incidence of the latter is 1 episode/62,69 patient – months. The Gram-positive organisms were responsible in 45.5% and Gram-negative organisms in 13.6%. 3 patients had peritonitis caused by multiple microorganisms,with extremely severe course. In 6 patients renal transplantation was performed, 8 patients were transferred to hemodialysis (HD). Among the dead patients, there was a high percentage of patients with diabetes mellitus, the leading cause of death was cardiovascular complications.
Conclusions. PD is highly recommended as first option in RRT in younger, compliant patients. Patients with diabetes and older patients with atherosclerosis are problematic, as various complications commonly arise.
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