How to Make Peritoneal Dialysis Affordable in Developing Countries

2009 ◽  
pp. 243-249 ◽  
Author(s):  
Georgi Abraham ◽  
Pallavi Khanna ◽  
Milly Mathew ◽  
Poorna Pushpkala ◽  
Anurag Mehrotra ◽  
...  
Keyword(s):  
Developing Countries ◽  
Peritoneal Dialysis

Peritoneal Dialysis in Developing Countries

2009 ◽  
pp. 270-277 ◽  
Author(s):  
K.S. Nayak ◽  
M.V. Prabhu ◽  
K.A. Sinoj ◽  
S.V. Subhramanyam ◽  
G. Sridhar
Keyword(s):  
Developing Countries ◽  
Peritoneal Dialysis

Continuous Ambulatory Peritoneal Dialysis in South Africa -A Four-Year Experience

1984 ◽  
Vol 4 (2) ◽  
pp. 78-81 ◽  
Author(s):  
I. Parsoo ◽  
Y.K. Seedat ◽  
S. Naicker ◽  
J.C. Kallmeyer
Keyword(s):  
South Africa ◽  
Developing Countries ◽  
Renal Failure ◽  
Peritoneal Dialysis ◽  
Renal Transplantation ◽  
Chronic Renal Failure ◽  
Continuous Ambulatory Peritoneal Dialysis ◽  
Minority Groups ◽  
Alternative Therapy ◽  
Major Complication

This study describes our experience with continuous ambulatory peritoneal dialysis (CAPD) over a four year period, during which 88 patients were offered CAPD. It compares and contrasts the response to CAPD among four racial groups in Natal viz asiatics, blacks, coloureds and whites. Peritonitis -the major complication, occurred with an overall incidence of one episode every 4.41 patient months. CAPD remains a useful alternative therapy in developing countries where a high percentage of patients with chronic renal failure would be denied a chronic renal failure program because of lack of expertise in hemodialysis and/or renal transplantation, or limited financial resources. Continuous ambulatory peritoneal dialysis (CAPD) was first described by Moncrief and Popovich (1) and, since its modification by Oreopoulos and his group (2), this technique has gained world wide usage. South Africa, like many developing countries has a high incidence of end-stage renal disease (ESRD) but because of lack of resources and economical problems, few patients with ESRD can be treated by dialysis or renal transplantation. CAPD affords a relatively simple and inexpensive form of therapy for these patients. At the present time about 200 patients are on CAPD in South Africa. Natal, the smallest of four provinces in South Africa, has a population of about five million, the majority being blacks. The minority groups include whites, asiatics and coloureds. There is only one chronic dialysis centre in Natal; situated in Durban, it serves the entire province including parts of the Transkei. This paper describes a four-year experience with CAPD in this mixed population and discusses problems unique to this situation.

Manual Intermittent Peritoneal Dialysis: A Successful Alternative to CAPD in Developing Countries

1985 ◽  
Vol 5 (3) ◽  
pp. 206-206 ◽  
Author(s):  
C.A. Saieh ◽  
I. T. Cordero ◽  
I. Baeza ◽  
E. Rodriguez ◽  
C. Hernandez
Keyword(s):  
Developing Countries ◽  
Peritoneal Dialysis

scholarly journals A review of acute and chronic peritoneal dialysis in developing countries

2015 ◽  
Vol 8 (3) ◽  
pp. 310-317 ◽  
Author(s):  
Georgi Abraham ◽  
Santosh Varughese ◽  
Milly Mathew ◽  
Madhusudan Vijayan
Keyword(s):  
Developing Countries ◽  
Peritoneal Dialysis ◽  
Chronic Peritoneal Dialysis

scholarly journals A Simple Tenckhoff Catheter Placement Technique for Continuous Ambulatory Peritoneal Dialysis (CAPD) Using the Bandung Method

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Jonny ◽  
Rudi Supriyadi ◽  
Rully Roesli ◽  
Goh Bak Leong ◽  
Lydia Permata Hilman ◽  
...  
Keyword(s):  
Developing Countries ◽  
Peritoneal Dialysis ◽  
Continuous Ambulatory Peritoneal Dialysis ◽  
Cost Effective ◽  
Catheter Insertion ◽  
Catheter Removal ◽  
Seldinger Technique ◽  
Invasive Technique ◽  
Tenckhoff Catheter ◽  
Stage Renal Disease

Insertion of Tenckhoff catheters for continuous ambulatory peritoneal dialysis by nephrologists remains uncommon in most developing countries, including Indonesia. The aim of this study is to describe our experience on a simple technique of Tenckhoff catheter insertion by a nephrologist called the Bandung method. We conducted a retrospective observational study from May 2012 until December 2018 in 230 patients with end-stage renal disease using the Bandung method, a blind percutaneous insertion approach modified from the Seldinger technique. Early complications after insertion were assessed. The mean age of patients was 47.28 years (range 14–84 years). Within 1 month after insertion, complications occurred in 34 patients: 13 (5.7%) malposition, 8 (3.5%) omental trapping, 6 (2.6%) outlow failure, 3 (1.3%) peritonitis, 1 (0.4%) catheter infections, 1 (0.4%) bleeding, 1 (0.4%) kinking, and 1 (0.4%) hernia. None of these complications led to catheter removal. One patient experienced a late (>1 month) post-insertion complication of malposition that could not be repositioned and led to catheter removal. The Bandung method is a simple, cost effective, and minimally invasive technique for Tenckhoff catheter insertion that is associated with the same rate of complications compared to other techniques. This technique may useful for application in developing countries.

Access-related complications in peritoneal dialysis in developing countries

2002 ◽  
Vol 9 (2) ◽  
pp. 144-148 ◽  
Author(s):  
Narayan Prasad ◽  
Amit Gupta ◽  
Milly Mathew ◽  
Georgi Abraham
Keyword(s):  
Developing Countries ◽  
Peritoneal Dialysis

scholarly journals Peritoneal Dialysis in Children with Acute Kidney Injury: Dhaka Shishu (Children) Hospital Experience

2017 ◽  
Vol 6 (2) ◽  
pp. 11-14
Author(s):  
NK Sarker ◽  
M Hanif ◽  
MA Rouf ◽  
PK Sarkar ◽  
S Mahmud ◽  
...  
Keyword(s):  
Acute Kidney Injury ◽  
Developing Countries ◽  
Peritoneal Dialysis ◽  
Kidney Injury ◽  
Unknown Etiology ◽  
Cross Sectional ◽  
Wasp Sting ◽  
Medical College ◽  
Common Causes ◽  
Uremic Syndrome

Background: The choices for renal replacement therapy (RRT) in children with acute kidney injury (AKI) are limited in developing countries. Peritoneal dialysis (PD) is the preferred and convenient treatment modality for acute kidney injury (AKI) in children and hemodynamically unstable patients.Methods: This is a cross sectional descriptic type of observational study of children who underwent PD for AKI in 43 children (27 boys) in nephrology department of Dhaka Shishu (children) Hospital from January 2013 to December 2013.Result: The study included 43 children (62.8 % male). Mean age was 2 ± 1.07 years, with the youngest being 2 months, and the oldest, 14 years. Most common causes was septicaemia (25.6%) and hypovolumia (25.6%) followed by unknown etiology (16.2%), glomerulonephritis (11.6%), wasp sting (9.3%) and hemolytic uremic syndrome (7%). Overall mortality was 32.5%, most common in unknown etiology and high in male but not statistically significant (p=0.42).Conclusions: In the developing countries, PD can be successfully performed for the management of childhood AKI. Septicaemia and hypovolumia are the leading causes of AKI, however mortality higher in male and unknown etiology.Anwer Khan Modern Medical College Journal Vol. 6, No. 2: July 2015, P 11-14

The Sustainable Kidney Care Foundation’s contribution to the improvement of AKI management in developing countries using peritoneal dialysis

2016 ◽  
Vol 86 (S1) ◽  
pp. 78-83 ◽  
Author(s):  
Mary Carter ◽  
Nathan W. Levin ◽  
Calvin S. Carter ◽  
John Callegari
Keyword(s):  
Developing Countries ◽  
Peritoneal Dialysis

scholarly journals Peritoneal Dialysis in Renal Replacement Therapy for Patients with Acute Kidney Injury

2011 ◽  
Vol 2011 ◽  
pp. 1-10 ◽  
Author(s):  
Naheed Ansari
Keyword(s):  
Acute Kidney Injury ◽  
Developing Countries ◽  
Peritoneal Dialysis ◽  
Renal Replacement Therapy ◽  
Replacement Therapy ◽  
Kidney Injury ◽  
Hemodynamic Instability ◽  
Renal Replacement Therapies ◽  
Continuous Renal Replacement Therapies ◽  
Trained Staff

Peritoneal dialysis (PD) was the first modality used for renal replacement therapy (RRT) of patients with acute kidney injury (AKI) because of its inherent advantages as compared to Hemodialysis. It provides the nephrologist with nonvascular alternative for renal replacement therapy. It is an inexpensive modality in developing countries and does not require highly trained staff or a complex apparatus. Systemic anticoagulation is not needed, and it can be easily initiated. It can be used as continuous or intermittent procedure and, due to slow fluid and solute removal, helps maintain hemodynamic stability especially in patients admitted to the intensive care unit. PD has been successfully used in AKI involving patients with hemodynamic instability, those at risk of bleeding, and infants and children with AKI or circulatory failure. Newer continuous renal replacement therapies (CRRTs) are being increasingly used in renal replacement therapy of AKI with less use of PD. Results of studies comparing newer modalities of CRRT versus acute peritoneal dialysis have been conflicting. PD is the modality of choice in renal replacement therapy in pediatric patients and in patients with AKI in developing countries.

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