INFECTIOUS AND NON-INFECTIOUS COMPLICATIONS OF PD. THE EXPERIENCE IN KUWAIT

 

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https://storage.unitedwebnetwork.com/files/1099/d8ebc5c5a9aa8b47355777bf0985129a.pdf
INFECTIOUS AND NON-INFECTIOUS COMPLICATIONS OF PD. THE EXPERIENCE IN KUWAIT

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Ali
AlSahow
Ali AlSahow alsahow@hotmail.com Jahra Hospital Medicine Jahra Kuwait *
Abdullah AlMuhaiteeb muhaitku@gmail.com Amiri Hospital Medicine Kuwait Kuwait -
Nasser AlSabti nhussainku@gmail.com Mubarak Hospital Medicine Jabriyea Kuwait -
Bassam AlHelal dr.alhelal@gmail.com Adan Hospital Medicine Hadiyea Kuwait -
Heba AlRajab drhalrajab@gmail.com Farwaniyea Hospital Medicine Ardiyea Kuwait -
Ahmed AlQallaf dr-alqallaf@hotmail.com Sabah Hospital Medicine Shwaikh Kuwait -
Anas AlYousef alyousefanas@yahoo.com Amiri Hospital Medicine Kuwait Kuwait -
Abdulrahaman AlKandari alkandari87@gmail.com Jahra Hospital Medicine Jahra Kuwait -
Ayman AlToukhi aaltoukhi@moh.gov.kw Mubarak Hospital Medicine Jabriyea Kuwait -
Wael Deraz drdraz74@gmail.com Adan Hospital Medicine Hadiyea Kuwait -
Mohamed Sherif drm.sherif2017@yahoo.com Farwaniyea Hospital Medicine Ardiyea Kuwait -
Sameh ElMekawi samehelmekawi@gmail.com Jahra Hospital Medicine Jahra Kuwait -
Hanan ElDisawy ayafifi6604@yahoo.com Sabah Hospital Medicine Shwaikh Kuwait -
Wesam Shabana wessamsamir56@yahoo.com Amiri Hospital Medicine Kuwait Kuwait -
Omar Alkandari kandari97@hotmail.com Mubarak Hospital Pediatrics Jabriyea Kuwait -

The total number of kidney failure patients on dialysis in Kuwait in 2024 was 2,550. However, only 12.1% are treated by peritoneal dialysis (PD). We present the incidence of infectious and non-infectious complications of PD and their outcomes.

Retrospective collection of clinical data and analysis of outcomes of infectious and non-infectious events that occurred in 2024 in all PD patients from all hospitals in Kuwait that care for PD patients.

A total of 308 patients on PD in 2024 (mean age: 57.3 years; Males: 55.5%; Kuwaiti citizens: 41.6%; automated PD: 65%). Table 1 describes the Infectious complications, percentages, and their outcomes. There were 76 infectious events with 80.3% of these events were peritonitis. Rate of peritonitis was 0.2 peritonitis episodes per patient year. Culture-negative peritonitis accounted for 31.1% of peritonitis events. Staphylococcus aureus was the dominant Gram-positive organism. Complete resolution was the most common outcome. Table 2 describes the infectious complications, percentages, and their outcomes. There were 99 non-infectious events, with catheter malposition as the most common complication. Of this group, conservative management was sufficient in 47.5% of cases, and 9% were transferred to hemodialysis. There were no significant differences in complications between men and women, or between Kuwaitis and expatriates, or between automated and ambulatory PD.

Table 1: Infectious complications

Table 1

Table 2: Non-infectious complications:

The rate of infectious and non-infectious complication in our PD patients, and the rate of culture-negative peritonitis, are similar to what is reported in the literature. However, rate of transfer to hemodialysis is higher than expected for some non-infectious complications because of patients fear and/or disappointment. This suggests that proper education about PD and it’s complications and thorough examination of the patient prior to catheter insertion are essential to ensure patients remain committed to PD following the occurrence of complications.

Kewords