State of peritoneal dialysis in children 2017

Abstract

Peritoneal dialysis plays a crucial role in renal replacement therapy in children and adolescents. In recent years, a significant change in the approach to peritoneal dialysis in neonates and infants has been observed due to increased survival and good long term outcomes in this groups. An important aspect of multidisciplinary treatment is to provide dialysis patients with normal development. In children the use of biocompatible fluids and individualization of the dialysis regimen are advised. Technical progress and the development of recommendations for prevention, diagnosis and treatment of peritonitis have contributed to a reduction in the incidence of this serious complication. National and international registries are a valuable source of knowledge about the state of dialysis in children and allow to formulate standards of care.