Table 2.
PD-related complications and available event-level details (n = 18).
| Complication | Timing from first PD exchange | Affected children, n/N (%) | Overlap or microbiology | Recorded management/outcome |
|---|---|---|---|---|
| Dialysate leak | Early (≤14 d) | 4/18 (22.2) | Occurred in four different children; none had an early exit-site infection. | A conservative protocol was effective in controlling leaks in 2 cases; leaks persisted in another 2 cases |
| Exit-site infection | Early (≤14 d) | 2/18 (11.1) | Occurred in two different children and did not overlap with early leak. | Treatment was documented with topical and/ or systemic antibiotics. |
| Persistent/recurrent dialysate leak | Late (>14 d) | 2/18 (11.1) | Occurred in one child with DIC and one child with ATN; the ATN child also developed Candida peritonitis. | Catheter intervention was documented in both children. |
| Exit-site complication | Late (>14 d) | 1/18 (5.6) | Documented as recurrent exit-site infection/allergic dermatitis in a child with ATN who also developed Candida peritonitis. | Treatment and later catheter removal were documented. |
| Peritonitis | Late (>14 d) | 4/18 (22.2); 5 episodes | Two Candida episodes; one multidrug-resistant A. baumannii episode; two relapsing polymicrobial E. cloacae/M. morganii episodes in one child. | Antimicrobial treatment and/or catheter removal or reinsertion were documented in all four affected children. |
| Catheter obstruction | Late (>14 d) | 1/18 (5.6) | Occurred with relapsing polymicrobial peritonitis in the child with stage 5 CKD. | The child transitioned from PD to HD. |
Abbreviations: PD, peritoneal dialysis; HD, hemodialysis; CKD, chronic kidney disease.