Continuous ambulatory peritoneal dialysis (CAPD) in children: a successful case for a bright future in a developing country.

Autor: Keita Y; Pediatric Unit, Aristide Le Dantec Hospital, Dakar, Sénégal., Ndongo AA; Pediatric Unit, Aristide Le Dantec Hospital, Dakar, Sénégal., Engome CB; Pediatric Unit, Aristide Le Dantec Hospital, Dakar, Sénégal., Sow NF; Pediatric Unit, Aristide Le Dantec Hospital, Dakar, Sénégal., Seck N; Pediatric Unit, Regional Hospital Centre, Saint Louis, Sénégal., Thiam L; Pediatric Unit, Regional Hospital Centre, Ziguinchor, Sénégal., Diouf PM; Pediatric Unit, Aristide Le Dantec Hospital, Dakar, Sénégal., Lemrabott AT; Nephrology Unit, Aristide Le Dantec Hospital, Dakar, Sénégal., Basse I; Pediatric Unit, Diamniadio Hospital, Dakar, Sénégal., Niang A; Nephrology Unit, Dalaldiam Hospital, Dakar, Sénégal., Krid S; Pediatric unit, Necker Hospital, Paris, France., Moreira C; Pediatric Unit, Aristide Le Dantec Hospital, Dakar, Sénégal., Salomon R; Pediatric unit, Necker Hospital, Paris, France., Diouf B; Nephrology Unit, Aristide Le Dantec Hospital, Dakar, Sénégal., Sylla A; Pediatric Unit, Aristide Le Dantec Hospital, Dakar, Sénégal., Ndiaye O; Pediatric Unit, Albert Royer's Children Centre, Dakar, Sénégal.
Jazyk: angličtina
Zdroj: The Pan African medical journal [Pan Afr Med J] 2019 May 30; Vol. 33, pp. 71. Date of Electronic Publication: 2019 May 30 (Print Publication: 2019).
DOI: 10.11604/pamj.2019.33.71.17042
Abstrakt: The authors report the first case of successful peritoneal dialysis (PD) in a developing country performed about a 13-year-old adolescent followed-up for stage V chronic kidney disease (CKD) with anuria. After 3 months of hemodialysis, the parents opted for continuous ambulatory peritoneal dialysis (CAPD) as they wished to return home located 121km from Dakar. After PD catheter insertion, the plan proposed to the patient consisted 3-4 hours stasis of isotonic dialysate during the day and a night stasis of 8 hours of icodextrin for an injection volume of 1L per session. The patient and his mother were trained and assessed on the PD technique. After dialysis adequacy was tested while hospitalised, they were able to return home and continued the sessions following the same plan prescribed and while keeping in touch, by telephone, with the medical team. The technique assessment at the day hospital every 2 weeks revealed dialysis adequacy and satisfactory tolerance of PD at home after 04 months of observation. It was the first case of successful CAPD in the pediatrics unit in this context. Scaling this technique is a challenge for the pediatric nephrologist in developing countries like Senegal.
Competing Interests: The authors declare no competing interests.
Databáze: MEDLINE
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