ArticlePediatric nephrology (Berlin, Germany)2018
Epidemiology of peritonitis following maintenance peritoneal dialysis catheter placement during infancy: a report of the SCOPE collaborative.
Article in Pediatric nephrology (Berlin, Germany), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
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15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 41 citations in OpenAlex.
- Guidelines for replacement of a balloon gastrostomy tube in infants and pediatric patients: The American Society for Parenteral and Enteral Nutrition.JPEN. Journal of parenteral and enteral nutrition · 2026Guideline
- SAGES peritoneal dialysis access guideline update 2023.Surgical endoscopy · 2024Guideline
- Peritoneal dialysis catheter complications in neonates with kidney failure.Pediatric nephrology (Berlin, Germany) · 2026Article
- Ten tips on how to optimize nutrition in children with chronic kidney disease or on dialysis.Clinical kidney journal · 2026Review
- Pediatric peritoneal dialysis training program and its relationship to peritonitis: a study of the International Pediatric Peritoneal Dialysis Network.Pediatric nephrology (Berlin, Germany) · 2023Article
- Continued reduction in peritonitis rates in pediatric dialysis centers: results of the Standardizing Care to Improve Outcomes in Pediatric End Stage Renal Disease (SCOPE) Collaborative.Pediatric nephrology (Berlin, Germany) · 2021Article
- Acute peritoneal dialysis, complications and outcomes in 389 children with STEC-HUS: a multicenter experience.Pediatric nephrology (Berlin, Germany) · 2021Article
- Eosinophilic peritonitis in children on chronic peritoneal dialysis.Pediatric nephrology (Berlin, Germany) · 2021Article
- Delivery of a nutritional prescription by enteral tube feeding in children with chronic kidney disease stages 2-5 and on dialysis-clinical practice recommendations from the Pediatric Renal Nutrition Taskforce.Pediatric nephrology (Berlin, Germany) · 2021Review
- End-stage kidney disease in infancy: an educational review.Pediatric nephrology (Berlin, Germany) · 2020Review
- Colostomy in children on chronic peritoneal dialysis.Pediatric nephrology (Berlin, Germany) · 2020Article
- Risk factors for early onset peritonitis: the SCOPE collaborative.Pediatric nephrology (Berlin, Germany) · 2019Article
- Peritoneal dialysis catheter outcomes in infants initiating peritoneal dialysis for end-stage renal disease.BMC nephrology · 2018Article
- Fungal peritonitis in the Standardizing Care to Improve Outcomes in Pediatric End Stage Renal Disease (SCOPE) Collaborative.Pediatric nephrology (Berlin, Germany) · 2018Article
- Peritoneal dialysis and infants: further insights into a complicated relationship.Pediatric nephrology (Berlin, Germany) · 2018Article
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11 authors at 8 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMaintenance peritoneal dialysis (PD) is the dialysis modality of choice for infants and young children. However, there are limited outcome data for those who undergo PD catheter insertion and initiate maintenance PD within the first year of life.
methodsUsing data from the Children's Hospital Association's Standardizing Care to Improve Outcomes in Pediatric End Stage Renal Disease (ESRD) Collaborative (SCOPE), we examined peritonitis rates and patient survival in 156 infants from 29 North American pediatric dialysis centers who had a chronic PD catheter placed prior to their first birthday.
resultsIn-hospital and overall annualized rates of peritonitis were 1.73 and 0.76 episodes per patient-year, respectively. Polycystic kidney disease was the most frequent renal diagnosis and pulmonary hypoplasia the most common co-morbidity in infants with peritonitis. Multivariable regression models demonstrated that nephrectomy at or prior to PD catheter placement and G-tube insertion after catheter placement were associated with a nearly sixfold and nearly threefold increased risk of peritonitis, respectively. Infants with peritonitis had longer initial hospital stays and lower overall survival (86.3 vs. 95.6%, respectively; P < 0.02) than those without an episode of peritonitis.
conclusionsIn this large cohort of infants with ESRD, the frequency of peritonitis was high and several risk factors associated with the development of peritonitis were identified. Given that peritonitis was associated with a longer duration of initial hospitalization and increased mortality, increased attention to the potentially modifiable risk factors for infection is needed.
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