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Introduction: The objective was to determine the average rate and most frequent causes of peritonitis in children on peritoneal dialysis (PD) treated in University Hospital Center Zagreb, Croatia. Material and methods: We included 38 patients (20 male, 18 female) followed in our Center who started PD in the period between 1.1.2011. and 31.12.2021. We analysed the duration and all the complications of PD, particulary the incidence and causes of peritonitis. Results: 13 patients started PD before the age of 6 and 6 patients after the age of 15. Most frequent cause of kidney failure were congenital anomalies (CAKUT) followed by various types of nephrotic syndrome. 19 patients received a kidney transplant, 2 patients are currently on haemodialysis and 17 patients are still on PD. Pediatric Nephrology (2022) 37:2803–2969 289126 patients had 0-1 peritonitis (68, 4%), 7 patients had 2-3 episodes (18, 4%) and 5 patients had 4 or more peritonitis episodes (13, 1%). 31 patient (81, 5%) kad low (0.5) episodes per patient years. The overall peritonits per patient year was 0, 31. Most frequently isolated microbial agent was S. Aureus, followed by P. aeruginosa and sterile peritonitis. Peritonitis was the cause of peritoenal catheter replacement in 14 cases. Conclusions: Peritonitis remains one of the most severe complications of PD. Adequate training of caretakers and medical staff performing PD is the best way to decrease the incidence of bacterial infections. Having a national registry of PD patients could help analyse weak spots and improve the overall care for patients on PD |
