Spectrum of Complications of Patients with Chronic Kidney Disease on Maintenance Continuous Ambulatory Peritoneal Dialysis: An Experience of Tertiary Nephrology Center in Najaf City-Iraq

Evan Noori; Rawaa Hadi; Yasir Sharba; Zahraa Fathi  Sharba

doi:10.3889/oamjms.2021.7274

Authors

Evan Noori Department of Clinical Pharmacy, College of Pharmacy, University of Kufa, Kufa, Iraq
Rawaa Hadi Department of Pharmacology and Toxicology, College of Pharmacy, University of Kufa, Kufa, Iraq
Yasir Sharba Najaf Nephrology and Transplant Center, Kufa, Iraq
Zahraa Fathi Sharba Department of Pharmacology and Toxicology, College of Pharmacy, University of Kufa, Kufa, Iraq

DOI:

https://doi.org/10.3889/oamjms.2021.7274

Keywords:

Chronic kidney disease, Maintenance continuous ambulatory peritoneal dialysis, Complications

Abstract

BACKGROUND: Chronic kidney disease (CKD), also called chronic kidney failure, is described as gradual loss of kidney function. CKD can progress to end-stage kidney failure, which is fatal without artificial filtering (dialysis) or kidney transplant. Peritoneal dialysis (PD) has a widespread renal replacement therapy with great acceptance because of simplicity, flexibility, and independence.

AIM: The aim of this study was to evaluate the complications of continuous ambulatory PD (CAPD) in patients with CKD.

METHODS: A cross-sectional study, involved 140 patients, aged between 18 and 80 years old and suffered from CKD under maintenance CAPD in the dialysis unit of the renal center. All data regarding the sociodemographic profile of the patient, vitals, etiological diagnosis, frequency and duration of dialysis, and dialysis-related complications were taken.

RESULTS: In the current study, there is a significant difference in the distribution of complications among gender where the female patients had a higher incidence of both infectious and non-infectious complications. The study also reported that there is much lower rate of complications among patients on laparoscope operation in compared with the open operation. In addition, patients with open abdomen PD developed the complications earlier than those with laparoscope maintenance CAPD.

CONCLUSION: Peritoneal infection is the most prevalent complication among the other complications in the current study. There is much lower rate of complications among patients on PD in compared with hemodialysis and on laparoscope in compared with the open operation.

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