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Peritoneal Access in Children Receiving Dialysis

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Pediatric Dialysis

Abstract

Peritoneal dialysis (PD) is the initial dialytic modality for many children with end-stage kidney disease (ESKD). This is especially true for children who have acquired ESKD during their first decade of life (Saran et al. Am J Kidney Dis. 73(3 suppl 1):Svii–Sxxii, 2019). Data from the North American Pediatric Renal Trials and Collaborative Studies (NAPRTCS) reveals that of the 9108 courses of dialysis recorded in the dialysis registry between 1992 and 2010, 58% were for PD (NAPRTCS 2011 Annual Dialysis Report). The availability of a well-functioning PD access is crucial to the provision of successful dialysis. This chapter will review key aspects pertaining to the optimal characteristics of the access, the preferred placement technique, and the recommended approaches to the management of PD access-related complications that arise as part of clinical care.

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References

  1. Saran R, et al. US Renal Data System 2018 Annual Data Report: epidemiology of kidney disease in the United States. Am J Kidney Dis. 2019;73(3 suppl 1):Svii–Sxxii. S1–S772

    Google Scholar 

  2. NAPRTCS 2011 Annual Dialysis Report.

    Google Scholar 

  3. Tenckhoff H, Schechter H. A bacteriologically safe peritoneal access device. ASAIO Trans. 1968;14:181–7.

    CAS  Google Scholar 

  4. Rinaldi S, Sera F, Verrina E, et al. Chronic peritoneal dialysis catheters in children: a fifteen-year experience of the Italian Registry of Pediatric Chronic Peritoneal Dialysis. Perit Dial Int. 2004;24(5):481–6.

    Article  PubMed  Google Scholar 

  5. Crabtree JH, Shrestha BM, Chow KM, Figueiredo AE, Povlsen JV, Wilkie M, et al. Creating and maintaining optimal peritoneal dialysis access in the adult patient: 2019 update. Perit Dial Int. 2019;39(5):414–36.

    Article  PubMed  Google Scholar 

  6. Twardowski ZJ. Peritoneal access: the past, present, and the future. Contrib Nephrol. 2006;150:195–201.

    Article  PubMed  Google Scholar 

  7. Sethna CB, Bryant K, Munshi R, Warady BA, Richardson T, Lawlor J, et al. Risk factors for and outcomes of catheter-associated peritonitis in children: the SCOPE collaborative. Clin J Am Soc Nephrol. 2016;11(9):1590–6.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Gokal R, Alexander S, Ash S, et al. Peritoneal catheters and exit-site practices toward optimum peritoneal access: 1998 update. (Official report from the International Society for Peritoneal Dialysis). Perit Dial Int. 1998;18(1):11–33.

    Article  CAS  PubMed  Google Scholar 

  9. Rinaldi S, Sera F, Verrina E, et al. The Italian Registry of Pediatric Chronic Peritoneal Dialysis: a ten-year experience with chronic peritoneal dialysis catheters. Perit Dial Int. 1998;18:71–4.

    Article  CAS  PubMed  Google Scholar 

  10. Szeto CC, Li PK, Johnson DW, Bernardini J, Dong J, Figueiredo AE, et al. ISPD catheter-related infection recommendations: 2017 update. Perit Dial Int. 2017;37(2):141–54.

    Article  PubMed  Google Scholar 

  11. Strippoli GF, Tong A, Johnson D, Schena FP, Craig JC. Catheter-related interventions to prevent peritonitis in peritoneal dialysis: a systematic review of randomized, controlled trials. J Am Soc Nephrol. 2004;15(10):2735–46.

    Article  PubMed  Google Scholar 

  12. Hagen SM, Lafranca JA, JN IJ, Dor FJ. A systematic review and meta-analysis of the influence of peritoneal dialysis catheter type on complication rate and catheter survival. Kidney Int. 2014;85(4):920–32.

    Article  PubMed  Google Scholar 

  13. Chow KM, Wong SSM, Ng JKC, Cheng YL, Leung CB, Pang WF, et al. Straight versus coiled peritoneal Dialysis catheters: a randomized controlled trial. Am J Kidney Dis. 2020;75(1):39–44.

    Article  PubMed  Google Scholar 

  14. Borzych-Duzalka D, Aki TF, Azocar M, White C, Harvey E, Mir S, et al. Peritoneal Dialysis access revision in children: causes, interventions, and outcomes. Clin J Am Soc Nephrol. 2017;12(1):105–12.

    Article  PubMed  Google Scholar 

  15. Alexander SR, Tank ES. Surgical aspects of continuous ambulatory peritoneal dialysis in infants, children and adolescents. J Urol. 1982;127(3):501–4.

    Article  CAS  PubMed  Google Scholar 

  16. Vigneau A, Hardy B, Balfe JA. Chronic peritoneal catheter in children: one or two Dacron cuffs? (Letter). Perit Dial Bull. 1981;1:151.

    Article  Google Scholar 

  17. Scalamogna A, De Vecchi A, Maccario M, Castelnovo C, Ponticelli C. Cuff-shaving procedure. A rescue treatment for exit-site infection unresponsive to medical therapy. Nephrol Dial Transplant. 1995;10(12):2325–7.

    Article  CAS  PubMed  Google Scholar 

  18. Yoshino A, Honda M, Ikeda M, et al. Merit of the cuff-shaving procedure in children with chronic infection. Pediatr Nephrol. 2004;19(11):1267–72.

    Article  PubMed  Google Scholar 

  19. Crabtree JH, Burchette RJ. Surgical salvage of peritoneal dialysis catheters from chronic exit-site and tunnel infections. Am J Surg. 2005;190(1):4–8.

    Article  PubMed  Google Scholar 

  20. Stone MM, Fonkalsrud EW, Salusky IB, Takiff H, Hall T, Fine RN. Surgical management of peritoneal dialysis catheters in children: five-year experience with 1,800 patient-month follow-up. J Pediatr Surg. 1986;21(12):1177–81.

    Article  CAS  PubMed  Google Scholar 

  21. Donmez O, Durmaz O, Ediz B, Cigerdelen N, Kocak S. Catheter-related complications in children on chronic peritoneal dialysis. Adv Perit Dial. 2005;21:200–3.

    PubMed  Google Scholar 

  22. Lewis MA, Smith T, Postlethwaite RJ, Webb NJ. A comparison of double-cuffed with single-cuffed Tenckhoff catheters in the prevention of infection in pediatric patients. Adv Perit Dial. 1997;13:274–6.

    CAS  PubMed  Google Scholar 

  23. Neu AM, Miller MR, Lawlor SJ, Richardson T, Martz K, Rosenberg C, Newland J, McAfee N, Begin B, Warady BA. Design of the standardizing care to improve outcomes in pediatric end stage renal disease collaborative. Peidatr Nephrol. 2014;29(9):1477–84.

    Article  Google Scholar 

  24. Nessim SJ, Bargman JM, Jassal SV. Relationship between double-cuff versus single-cuff peritoneal dialysis catheters and risk of peritonitis. Nephrol Dialysis Transplant. 2010;25(7):2310–4.

    Article  Google Scholar 

  25. Weaver DJ Jr, Somers MJG, Martz K, Mitsnefes MM. Clinical outcomes and survival in pediatric patients initiating chronic dialysis: a report of the NAPRTCS registry. Pediatr Nephrol (Berlin, Germany). 2017;32(12):2319–30.

    Article  Google Scholar 

  26. Twardowski ZJ, Prowant BF, Nichols WK, Nolph KD, Khanna R. Six-year experience with swan neck catheters. Perit Dial Int. 1992;12(4):384–9.

    Article  CAS  PubMed  Google Scholar 

  27. Auron A, Simon S, Andrews W, et al. Prevention of peritonitis in children receiving peritoneal dialysis. Pediatr Nephrol. 2007;22(4):578–85.

    Article  PubMed  Google Scholar 

  28. Washburn KK, Currier H, Salter KJ, Brandt ML. Surgical technique for peritoneal dialysis catheter placement in the pediatric patient: a North American survey. Adv Perit Dial. 2004;20:218–21.

    PubMed  Google Scholar 

  29. Warady BA, Feneberg R, Verrina E, et al. Peritonitis in children who receive long-term peritoneal dialysis: a prospective evaluation of therapeutic guidelines. J Am Soc Nephrol. 2007;18(7):2172–9.

    Article  PubMed  Google Scholar 

  30. Gadallah MF, Mignone J, Torres C, Ramdeen G, Pervez A. The role of peritoneal dialysis catheter configuration in preventing catheter tip migration. Adv Perit Dial. 2000;16:47–50.

    CAS  PubMed  Google Scholar 

  31. Lye WC, Kour NW, van der Straaten JC, Leong SO, Lee EJ. A prospective randomized comparison of the Swan neck, coiled, and straight Tenckhoff catheters in patients on CAPD. Perit Dial Int. 1996;16(Suppl 1):S333–5.

    Article  PubMed  Google Scholar 

  32. Moreiras P, Cuina L, Goyanes G, Lavoratti G, Gonzalez L. Mechanical complications in chronic peritoneal dialysis. Clin Nephrol. 1999;52(2):124–30.

    Google Scholar 

  33. Crabtree JH, Burchette RJ. Comparative analysis of two-piece extended peritoneal dialysis catheters with remote exit-site locations and conventional abdominal catheters. Perit Dial Int. 2010;30(1):46–55.

    Article  PubMed  Google Scholar 

  34. Warchol S, Ziolkowska H, Roszkowska-Blaim M. Exit-site infection in children on peritoneal dialysis: comparison of two types of peritoneal catheters. Perit Dial Int. 2003;23(2):169–73.

    Article  PubMed  Google Scholar 

  35. Chadha V, Jones LL, Ramirez ZD, Warady BA. Chest wall peritoneal dialysis catheter placement in infants with a colostomy. Adv Perit Dial. 2000;16:318–20.

    CAS  PubMed  Google Scholar 

  36. Ta A, Saxena S, Badru F, Lee ASE, et al. Laparoscopic peritoneal Dialysis catheter placement with chest wall exit site for neonate with stoma. Perit Dial Int. 2019;39(5):405–8.

    Article  PubMed  Google Scholar 

  37. Furth SL, Donaldson LA, Sullivan EK, Watkins SL. Peritoneal dialysis catheter infections and peritonitis in children: a report of the North American Pediatric Renal Transplant Cooperative Study. Pediatr Nephrol. 2000;15(3–4):179–82.

    Article  CAS  PubMed  Google Scholar 

  38. Eklund BH, Honkanen EO, Kala AR, Kyllonen LE. Peritoneal dialysis access: prospective randomized comparison of the Swan neck and Tenckhoff catheters. Perit Dial Int. 1995;15(8):353–6.

    Article  CAS  PubMed  Google Scholar 

  39. Lo W, Lui S, Li F, et al. A prospective randomized study on three different peritoneal dialysis catheters. Perit Dial Int. 2003;23:S127–31.

    Article  PubMed  Google Scholar 

  40. Yip T, Lui SL, Tse KC, et al. A prospective randomized study comparing Tenckhoff catheters inserted using the triple incision method with standard swan neck catheters. Perit Dial Int. 2010;30(1):56–62.

    Article  PubMed  Google Scholar 

  41. Xie JY, Chen N, Ren H, Huang XM, Zhu P. Prospective studies on applications of a two-cuff Swan neck catheter and a Tenckhoff catheter to Chinese CAPD patients. Clin Nephrol. 2009;72(5):373–9.

    Article  CAS  PubMed  Google Scholar 

  42. Li CL, Cui TG, Gan HB, Cheung K, Lio WI, Kuok UI. A randomized trial comparing conventional swan-neck straight-tip catheters to straight-tip catheters with an artificial subcutaneous swan neck. Perit Dial Int. 2009;29(3):278–84.

    Article  PubMed  Google Scholar 

  43. Flanigan M, Gokal R. Peritoneal catheters and exit-site practices toward optimum peritoneal access: a review of current developments. Perit Dial Int. 2005;25(2):132–9.

    Article  PubMed  Google Scholar 

  44. Hooman N, Esfahani ST, Mohkam M, Derakhshan A, Gheissari A, Vazirian S, et al. The outcome of Iranian children on continuous ambulatory peritoneal dialysis: the first report of Iranian National Registry. Arch Iran Med. 2009;12(1):24–8.

    PubMed  Google Scholar 

  45. Stringel G, McBride W, Weiss R. Laparoscopic placement of peritoneal dialysis catheters in children. J Pediatr Surg. 2008;43(5):857–60.

    Article  PubMed  Google Scholar 

  46. Laakkonen H, Holtta T, Lonnqvist T, Holmberg C, Ronnholm K. Peritoneal dialysis in children under two years of age. Nephrol Dialysis Transplant. 2008;23(5):1747–53.

    Article  Google Scholar 

  47. Lessin MS, Luks FI, Brem AS, Wesselhoeft CW Jr. Primary laparoscopic placement of peritoneal dialysis catheters in children and young adults. Surg Endosc. 1999;13(11):1165–7.

    Article  CAS  PubMed  Google Scholar 

  48. Brandt M, Brewer E. Peritoneal dialysis access in children. Dordrecht: Kluwer Academic Publishers; 2004.

    Book  Google Scholar 

  49. Conlin MJ, Tank ES. Minimizing surgical problems of peritoneal dialysis in children. J Urol. 1995;154(2 Pt 2):917–9.

    Article  CAS  PubMed  Google Scholar 

  50. Imani PD, Carpenter JL, Bell CS, Brandt ML, Braun MC, Swartz SJ. Peritoneal dialysis catheter outcomes in infants initiating peritoneal dialysis for end-stage renal disease. BMC Nephrol. 2018;19(1):231.

    Article  PubMed  PubMed Central  Google Scholar 

  51. Twardowski ZJ. Presternal peritoneal catheter. Adv Ren Replace Ther. 2002;9(2):125–32.

    Article  PubMed  Google Scholar 

  52. Leaper D, Burman-Roy S, Palanca A, Cullen K, Worster D, Gautam-Aitken E, et al. Prevention and treatment of surgical site infection: summary of NICE guidance. BMJ. 2008;337:a1924.

    Google Scholar 

  53. Warady BA, Bakkaloglu S, Newland J, Cantwell M, Verrina E, Neu A, et al. Consensus guidelines for the prevention and treatment of catheter-related infections and peritonitis in pediatric patients receiving peritoneal dialysis: 2012 update. Perit Dial Int. 2012;32(Suppl 2):S32–86.

    Google Scholar 

  54. Strippoli GF, Tong A, Johnson D, Schena FP, Craig JC. Antimicrobial agents to prevent peritonitis in peritoneal dialysis: a systematic review of randomized controlled trials. Am J Kidney Dis. 2004;44(4):591–603.

    Article  CAS  PubMed  Google Scholar 

  55. Harvey EA. Peritoneal access in children. Perit Dial Int. 2001;21(Suppl 3):S218–22.

    Article  PubMed  Google Scholar 

  56. Bonifati C, Pansini F, Torres DD, Navaneethan SD, Craig JC, Strippoli GF. Antimicrobial agents and catheter-related interventions to prevent peritonitis in peritoneal dialysis: using evidence in the context of clinical practice. Int J Artif Organs. 2006;29(1):41–9.

    Article  CAS  PubMed  Google Scholar 

  57. Gadallah MF, Ramdeen G, Mignone J, Patel D, Mitchell L, Tatro S. Role of preoperative antibiotic prophylaxis in preventing postoperative peritonitis in newly placed peritoneal dialysis catheters. Am J Kidney Dis. 2000;36(5):1014–9.

    Article  CAS  PubMed  Google Scholar 

  58. Dombros N, Dratwa M, Feriani M, et al. European best practice guidelines for peritoneal dialysis. 3 peritoneal access. Nephrol Dial Transplant. 2005;20(Suppl 9):ix8–12.

    PubMed  Google Scholar 

  59. Reissman P, Lyass S, Shiloni E, Rivkind A, Berlatzky Y. Placement of a peritoneal dialysis catheter with routine omentectomy – does it prevent obstruction of the catheter? Eur J Surg. 1998;164(9):703–7.

    Google Scholar 

  60. Lewis M, Webb N, Smith T, Roberts D. Routine omentectomy is not required in children undergoing chronic peritoneal dialysis. Adv Perit Dial. 1995;11:293–5.

    CAS  PubMed  Google Scholar 

  61. Neu AM, Kohaut EC, Warady BA. Current approach to peritoneal access in North American children: a report of the Pediatric Peritoneal Dialysis Study Consortium. Adv Perit Dial. 1995;11:289–92.

    CAS  PubMed  Google Scholar 

  62. Phan J, Stanford S, Zaritsky JJ, DeUgarte DA. Risk factors for morbidity and mortality in pediatric patients with peritoneal dialysis catheters. J Pediatr Surg. 2013;48(1):197–202.

    Article  PubMed  Google Scholar 

  63. Cao W, Tu C, Jai T, Liu C, et al. Prophylactic laparoscopic omentectomy: a new technique for peritoneal dialysis catheter placement. Ren Fail. 2019;41(1):113–1.

    Article  PubMed  PubMed Central  Google Scholar 

  64. Sojo E, Bisigniano L, Turconi A, et al. Is fibrin glue useful in preventing dialysate leakage in children on CAPD? Preliminary results of a prospective randomized study. Adv Perit Dial. 1997;13:277–80.

    CAS  PubMed  Google Scholar 

  65. Sojo ET, Grosman MD, Monteverde ML, Bailez MM, Delgado N. Fibrin glue is useful in preventing early dialysate leakage in children on chronic peritoneal dialysis. Perit Dial Int. 2004;24(2):186–90.

    Article  CAS  PubMed  Google Scholar 

  66. Rusthoven E, van de Kar NA, Monnens LA, Schroder CH. Fibrin glue used successfully in peritoneal dialysis catheter leakage in children. Perit Dial Int. 2004;24(3):287–9.

    Article  CAS  PubMed  Google Scholar 

  67. Popovich R, Moncrief J, Decherd JF, et al. The definition of a novel wearable/portable equilibrium peritoneal dialysis technique. Trans Am Soc Artif Intern Organs. 1976;5:64.

    Google Scholar 

  68. Gadallah MF, Pervez A, el-Shahawy MA, et al. Peritoneoscopic versus surgical placement of peritoneal dialysis catheters: a prospective randomized study on outcome. Am J Kidney Dis. 1999;33(1):118–22.

    Article  CAS  PubMed  Google Scholar 

  69. Htay H, Johnson DW. Catheter type, placement, and insertion techniques for preventing catheter-related infections in maintenance peritoneal Dialysis patients: summary of a Cochrane review. AJKD. 2019;74(ISS 5):703–5.

    Article  PubMed  Google Scholar 

  70. Crabtree JH, Burchette RJ. Effective use of laparoscopy for long-term peritoneal dialysis access. Am J Surg. 2009;198(1):135–41.

    Article  PubMed  Google Scholar 

  71. Copeland DR, Blaszak RT, Tolleson JS, et al. Laparoscopic Tenckhoff catheter placement in children using a securing suture in the pelvis: comparison to the open approach. J Pediatr Surg. 2008;43(12):2256–9.

    Article  PubMed  Google Scholar 

  72. Maio R, Figueiredo N, Costa P. Laparoscopic placement of Tenckhoff catheters for peritoneal dialysis: a safe, effective, and reproducible procedure. Perit Dial Int. 2008;28(2):170–3.

    Article  PubMed  Google Scholar 

  73. Crabtree JH, Burchette RJ. Effect of prior abdominal surgery, peritonitis, and adhesions on catheter function and long-term outcome on peritoneal dialysis. Am Surg. 2009;75(2):140–7.

    Article  PubMed  Google Scholar 

  74. Wong YS, Pang KKY, Ma ALT, et al. A standardized technique of laparoscopic placement of peritoneal dialysis catheter with omentectomy and closure of patent processus vaginalis: a 3-in-1 minimally invasive surgical approach in children. J Pediatr Surg. https://doi.org/10.1016/j.jpedsurg.2019.09.033.

  75. Wang JY, Chen FM, Huang TJ, et al. Laparoscopic assisted placement of peritoneal dialysis catheters for selected patients with previous abdominal operation. J Investig Surg. 2005;18(2):59–62.

    Article  Google Scholar 

  76. Daschner M, Gfrorer S, Zachariou Z, Mehls O, Schaefer F. Laparoscopic Tenckhoff catheter implantation in children. Perit Dial Int. 2002;22(1):22–6.

    Article  PubMed  Google Scholar 

  77. Rahim KA, Seidel K, McDonald RA. Risk factors for catheter-related complications in pediatric peritoneal dialysis. Pediatr Nephrol. 2004;19(9):1021–8.

    Article  PubMed  Google Scholar 

  78. Moncrief JW, Popovich RP. Moncrief-Popovich catheter: implantation technique and clinical results. Perit Dial Int. 1994;14(Suppl 3):S56–8.

    Article  PubMed  Google Scholar 

  79. Danielsson A, Blohme L, Tranaeus A, Hylander B. A prospective randomized study of the effect of a subcutaneously “buried” peritoneal dialysis catheter technique versus standard technique on the incidence of peritonitis and exit-site infection. Perit Dial Int. 2002;22(2):211–9.

    Article  PubMed  Google Scholar 

  80. Esson ML, Quinn MJ, Hudson EL, Teitelbaum I. Subcutaneously tunnelled peritoneal dialysis catheters with delayed externalization: long-term follow-up. Adv Perit Dial. 2000;16:123–8.

    CAS  PubMed  Google Scholar 

  81. Brown PA, McCormick BB, Knoll G, Su Y, Doucette S, Fergusson D, et al. Complications and catheter survival with prolonged embedding of peritoneal dialysis catheters. Nephrol Dialysis Transplant. 2008;23(7):2299–303.

    Article  Google Scholar 

  82. Crabtree JH, Burchette RJ. Peritoneal dialysis catheter embedment: surgical considerations, expectations, and complications. Am J Surg. 2013;206(4):464–71.

    Article  PubMed  Google Scholar 

  83. Brum S, Rodrigues A, Rocha S, Carvalho MJ, Nogueira C, Magalhaes C, et al. Moncrief-Popovich technique is an advantageous method of peritoneal dialysis catheter implantation. Nephrol Dialysis Transplant. 2010;25(9):3070–5.

    Article  Google Scholar 

  84. Twardowski ZJ, Prowant BF. Exit-site healing post catheter implantation. Perit Dial Int. 1996;16(Suppl 3):S51–70.

    Article  PubMed  Google Scholar 

  85. Twardowski ZJ, Prowant BF. Exit-site study methods and results. Perit Dial Int. 1996;16(Suppl 3):S6–31.

    Article  PubMed  Google Scholar 

  86. Jones LL, Tweedy L, Warady BA. The impact of exit-site care and catheter design on the incidence of catheter-related infections. Adv Perit Dial. 1995;11:302–5.

    CAS  PubMed  Google Scholar 

  87. Prowant BF, Warady BA, Nolph KD. Peritoneal dialysis catheter exit-site care: results of an international survey. Perit Dial Int. 1993;13(2):149–54.

    Article  CAS  PubMed  Google Scholar 

  88. Patel UD, Mottes TA, Flynn JT. Delayed compared with immediate use of peritoneal catheter in pediatric peritoneal dialysis. Adv Perit Dial. 2001;17:253–9.

    CAS  PubMed  Google Scholar 

  89. Keswani M, Redpath Mahon AC, Richardson T, Rodean J, Couloures O, Martin A, et al. Risk factors for early onset peritonitis: the SCOPE collaborative. Pediatr Nephrol (Berlin, Germany). 2019;34(8):1387–94.

    Article  Google Scholar 

  90. Fischbach M, Warady BA. Peritoneal dialysis prescription in children: bedside principles for optimal practice. Pediatr Nephrol. 2009;24(9):1633–42.

    Article  PubMed  PubMed Central  Google Scholar 

  91. Dejardin A, Robert A, Goffin E. Intraperitoneal pressure in PD patients: relationship to intraperitoneal volume, body size and PD-related complications. Nephrology Dialysis Transplant. 2007;22(5):1437–44.

    Article  Google Scholar 

  92. Cho Y, Boudville N, Palmer SC, Chow JSF, Hawley CM, Jose MD, et al. Practice of peritoneal Dialysis catheter Flushing in Australia and New Zealand: multi-center cross-sectional survey. Perit Dial Int. 2018;38(2):98–103.

    Article  CAS  PubMed  Google Scholar 

  93. Swartz SJ, Neu A, Skversky Mason A, Richardson T, Rodean J, Lawlor J, et al. Exit site and tunnel infections in children on chronic peritoneal dialysis: findings from the Standardizing Care to Improve Outcomes in Pediatric End Stage Renal Disease (SCOPE) collaborative. Pediatr Nephrol (Berlin, Germany). 2018;33(6):1029–35.

    Article  Google Scholar 

  94. Twardowski ZJ, Prowant BF. Classification of normal and diseased exit sites. Perit Dial Int. 1996;16(Suppl 3):S32–50.

    Article  PubMed  Google Scholar 

  95. Neu AM, Richardson T, Lawlor J, Stuart J, Newland J, McAfee N, et al. Implementation of standardized follow-up care significantly reduces peritonitis in children on chronic peritoneal dialysis. Kidney Int. 2016;89(6):1346–54.

    Article  PubMed  Google Scholar 

  96. Chua AN, Goldstein SL, Bell D, Brewer ED. Topical mupirocin/sodium hypochlorite reduces peritonitis and exit-site infection rates in children. Clin J Am Soc Nephrol. 2009;4(12):1939–43.

    Article  PubMed  PubMed Central  Google Scholar 

  97. Wong S, Chu K, Cheuk A. Prophylaxis against gram-positive organisms causing exit-site infection and peritonitis in continuous ambulatory peritoneal dialysis patients by applying mupirocin ointment at the catheter exit-site. Perit Dial Int. 2003;23:153–8.

    Article  Google Scholar 

  98. Bernardini J, Bender F, Florio T, et al. Randomized, double-blind trial of antibiotic exit site cream for prevention of exit site infection in peritoneal dialysis patients. J Am Soc Nephrol. 2005;16(2):539–45.

    Article  CAS  PubMed  Google Scholar 

  99. Freitas C, Rodrigues A, Carvalho MJ, Cabrita A. Exit site infections: systematic microbiologic and quality control are needed. Adv Perit Dial. 2009;25:26–31.

    PubMed  Google Scholar 

  100. Mahaldar A, Weisz M, Kathuria P. Comparison of gentamicin and mupirocin in the prevention of exit-site infection and peritonitis in peritoneal dialysis. Adv Perit Dial. 2009;25:56–9.

    PubMed  Google Scholar 

  101. Xu G, Tu W, Xu C. Mupirocin for preventing exit-site infection and peritonitis in patients undergoing peritoneal dialysis. Nephrol Dial Transplant. 2010;25(2):587–92.

    Article  CAS  PubMed  Google Scholar 

  102. Wong PN, Tong GM, Wong YY, Lo KY, Chan SF, Lo MW, et al. Alternating mupirocin/gentamicin is associated with increased risk of fungal peritonitis as compared with gentamicin alone – results of a randomized open-label controlled trial. Perit Dial Int. 2016;36(3):340–6.

    Google Scholar 

  103. Cribbs RK, Greenbaum LA, Heiss KF. Risk factors for early peritoneal dialysis catheter failure in children. J Pediatr Surg. 2010;45(3):585–9.

    Article  PubMed  Google Scholar 

  104. Savader SJ, Lund G, Scheel PJ, et al. Guide wire directed manipulation of malfunctioning peritoneal dialysis catheters: a critical analysis. J Vasc Interv Radiol. 1997;8(6):957–63.

    Article  CAS  PubMed  Google Scholar 

  105. Shea M, Hmiel SP, Beck AM. Use of tissue plasminogen activator for thrombolysis in occluded peritoneal dialysis catheters in children. Adv Perit Dial. 2001;17:249–52.

    CAS  PubMed  Google Scholar 

  106. Sakarcan A, Stallworth JR. Tissue plasminogen activator for occluded peritoneal dialysis catheter. Pediatr Nephrol. 2002;17(3):155–6.

    Article  PubMed  Google Scholar 

  107. Krishnan RG, Moghal NE. Tissue plasminogen activator for blocked peritoneal dialysis catheters. Pediatr Nephrol. 2006;21(2):300.

    Article  CAS  PubMed  Google Scholar 

  108. Li PK, Szeto CC, Piraino B, et al. ISPD peritonitis recommendations: 2016 update on prevention and treatment [published correction appears in Perit Dial Int. 2018 Jul-Aug;38(4):313]. Perit Dial Int. 2016;36(5):481–508.

    Article  PubMed  PubMed Central  Google Scholar 

  109. Macchini F, Testa S, Valade A, et al. Conservative surgical management of catheter infections in children on peritoneal dialysis. Pediatr Surg Int. 2009;25(8):703–7.

    Article  PubMed  Google Scholar 

  110. Wu YM, Tsai MK, Chao SH, Tsai TJ, Chang KJ, Lee PH. Surgical management of refractory exit-site/tunnel infection of Tenckhoff catheter: technical innovations of partial replantation. Perit Dial Int. 1999;19(5):451–4.

    Article  CAS  PubMed  Google Scholar 

  111. Swartz RD, Messana JM. Simultaneous catheter removal and replacement in peritoneal dialysis infections: update and current recommendations. Adv Perit Dial. 1999;15:205–8.

    CAS  PubMed  Google Scholar 

  112. Schroder CH, Severijnen RS, de Jong MC, Monnens LA. Chronic tunnel infections in children: removal and replacement of the continuous ambulatory peritoneal dialysis catheter in a single operation. Perit Dial Int. 1993;13(3):198–200.

    Article  CAS  PubMed  Google Scholar 

  113. Majkowski NL, Mendley SR. Simultaneous removal and replacement of infected peritoneal dialysis catheters. Am J Kidney Dis. 1997;29(5):706–11.

    Article  CAS  PubMed  Google Scholar 

  114. Andreetta B, Verrina E, Sorino P, et al. Complications linked to chronic peritoneal dialysis in children after kidney transplantation: experience of the Italian Registry of Pediatric Chronic Peritoneal Dialysis. Perit Dial Int. 1996;16(Suppl 1):S570–3.

    Article  PubMed  Google Scholar 

  115. Arbeiter K, Pichler A, Muerwald G, et al. Timing of peritoneal dialysis catheter removal after pediatric renal transplantation. Perit Dial Int. 2001;21(5):467–70.

    Article  CAS  PubMed  Google Scholar 

  116. Korzets Z, Hasdan G, Bulkan G, Klein E, Bernheim J, Shpitz B. Early postoperative complications of removal of Tenckhoff peritoneal dialysis catheter. Perit Dial Int. 2000;20(6):789–91.

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Pediatrics, Division of Pediatric Nephrology, Children’s Mercy Kansas City, Kansas City, MO, USA

    Bradley A. Warady

  2. Department of General Surgery, Children’s Mercy Kansas City, Kansas City, MO, USA

    Walter S. Andrews

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  1. Bradley A. Warady
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  2. Walter S. Andrews
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Correspondence to Bradley A. Warady .

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Editors and Affiliations

  1. Department of Pediatrics, University of Missouri-Kansas City, School of Medicine, Division of Pediatric Nephrology, Children’s Mercy Kansas City, Kansas City, MO, USA

    Bradley A. Warady

  2. Stanford University School of Medicine, Division of Pediatric Nephrology, Department of Pediatrics, Palo Alto, CA, USA

    Steven R. Alexander

  3. Division of Pediatric Nephrology, Center for Pediatrics and Adolescent Medicine, University of Heidelberg, Heidelberg, Germany

    Franz Schaefer

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Warady, B.A., Andrews, W.S. (2021). Peritoneal Access in Children Receiving Dialysis. In: Warady, B.A., Alexander, S.R., Schaefer, F. (eds) Pediatric Dialysis. Springer, Cham. https://doi.org/10.1007/978-3-030-66861-7_12

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  • DOI: https://doi.org/10.1007/978-3-030-66861-7_12

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