Continuous ambulatory peritoneal dialysis (CRPD)--an initial Indian experience.
J Indian Med Assoc
;
2005 Jan; 103(1): 22, 24, 26 passim
Article
in English
| IMSEAR
| ID: sea-100595
ABSTRACT
Continuous ambulatory peritoneal dialysis (CAPD) is a widely accepted mode of renal replacement therapy. CAPD is largely underutilised in India. Twenty patients of chronic renal failure (CRF) were started on CAPD-10 on the standard straight set, 10 on the Y-set. The efficacy of CAPD was evaluated by assessment of laboratory parameters at the onset and after three months of CAPD. Significant improvements in blood, urea, serum creatinine, serum bicarbonate, serum calcium, serum phosphorous, haemoglobin level and blood pressure were observed. There was a significant deterioration in the serum lipid and protein levels on CAPD. Peritonitis was a major complication observed. On the standard set the incidence of peritonitis was one episode per 5.92 patient months compared to one episode per 19.33 patient months with the Y-set (P value = 0.05). Peritonitis occurred more frequently in the summer months. At the end of one year, 70% patients continued on CAPD, with 3 deaths, one each due to malnutrition, myocardial infarction and tunnel infection. Three patients switched over to other replacement therapies. To conclude, CAPD can emerge as a safe, viable mode of renal replacement in developing countries like India.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Peritonitis
/
Humans
/
Male
/
Peritoneal Dialysis, Continuous Ambulatory
/
Adult
/
India
/
Kidney Failure, Chronic
/
Middle Aged
Country/Region as subject:
Asia
Language:
English
Journal:
J Indian Med Assoc
Year:
2005
Type:
Article
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