Geriatric Nephrology and Urology

, Volume 6, Issue 1, pp 21–25 | Cite as

Intermittent peritoneal dialysis (IPD) in the elderly

Experience at Security Forces Hospital Riyadh, Saudi Arabia
  • Ahmed Mitwalli
  • Ghulam Malik
  • Jamal Al Wakeel
  • Suliman Al Mohaya
  • Hazem El Gamal
  • Mohammed Kechrid
  • Hassan Abu-Aisha
Original Article
  • 31 Downloads

Abstract

Twenty-one elderly patients with end-stage renal disease (ESRD) secondary to various etiologies received IPD at our unit. It was done manually by trained staff nurses. Each patient received 20-24 one hour exchanges of 2 liters PD solution twice a week through a permanent Tenckhoff catheter. Mean age of patients was 63 years (range 60–96),12 were male and 9 female. Mean duration of stay on IPD was 23 months (range 18–41). The etiologies of ESRD were: diabetes mellitus (9 patients), unknown etiology (7), hypertension (3), glomerulonephritis and liver cirrhosis (hepatitis C) (2). The peritonitis rate was one episode per 16.3 patient/month. The causative organisms were staphylococcus, coliforms, acinobacter and pseudomonas. Six patients died due to each of the following: 2 septicemia not related to PD; 2 hepatic failure; 2 massive myocardial infarction. Two patients were changed to hemodialysis due to recurrent peritonitis. We observed 7 episodes of catheter exit-site infection; causative organisms were staphylococcus (4), and pseudomonas (3). Staphylococcus cases of exit-site infection responded to local fucidin ointment and oral antibiotic, while in the pseudomonas cases the catheter had to be removed. All patients received erythropoietin and have maintained good hemoglobin levels (10.1 ± 1.2 gm%). They also had adequate control of their serum creatinine and urea level. As the patients improved, they became less dependent on their relatives.

We conclude that IPD is relatively safe and acceptable modality of dialysis treatment in elderly.

Key words

dialysis peritoneal dialysis peritonitis 

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Copyright information

© Kluwer Academic Publishers 1996

Authors and Affiliations

  • Ahmed Mitwalli
    • 1
  • Ghulam Malik
    • 1
  • Jamal Al Wakeel
    • 1
  • Suliman Al Mohaya
    • 1
  • Hazem El Gamal
    • 1
  • Mohammed Kechrid
    • 1
  • Hassan Abu-Aisha
    • 1
  1. 1.Nephrology Unit Department of Medicine (38)King Khalid University HospitalRiyadhSaudi Arabia

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