Non-Infectious Complications of Peritoneal Dialysis in Senegal

• 作者: Abdou Niang Abdoul Hassane Sanlé Traoré Ahmed Tall Lemrabott Bacary Ba Boucar Diouf El Hadji Fary Ka Khodia Fall Mansour Mbengue Maria Faye Mouhamadou Moustapha Cissé Moustapha Faye Niakhalee Keita Seynabou Diagne Yaya Kane Zeinabou Maiga Moussa Tondi
• 来源期刊: 肾脏病(英文)
• 学科: 医学
• 关键词: PERITONEAL DIALYSIS NON-INFECTIOUS COMPLICATIONS CATHETER Migration HYPOALBUMINEMIA Hypokalaemia
• 年，卷（期）: 2020,（1）
• 页码范围: 43-49
• 页数: 7页
• 分类号: R73

摘要

Introduction: Senegal has pioneered the implementation of peritoneal dialysis (PD) in West Africa, practicing it since 2004. Non-infectious complications are a significant cause of failure of this technique and the transfer of patients to haemodialysis. The aim of this study was to determine the prevalence and the different types of non-infectious complications in our context. Patients and Methods: This was a 5-year, descriptive, retrospective study of patients on chronic peritoneal dialysis for more than 3 months. Results: During the study period, 75 patients were included. The prevalence of non-infectious complications was 88%, including 45.3% mechanical complications and 76% metabolic complications. Catheter migration was the most common mechanical complication (55.9%), followed by catheter blockage (23.5%). Metabolic complications were dominated by hypoalbuminemia (76.3%). Dyslipidaemia and hypokalaemia affected more than 50% of patients, occurring in 59.3% and 56.9% of cases, respectively. Conclusion: In our study, non-infectious complications related to PD were frequent and varied. They remain a significant cause of technical failure. Mechanical complications are often the cause of permanent transfer to haemodialysis.