Continuous ambulatory peritoneal dialysis (CAPD) in children: a successful case for a bright future in a developing country

Abstract

The authors report the first case of successful peritoneal dialysis (PD) in a developing country performed about a 13-year-old adolescent followedup for stage V chronic kidney disease (CKD) with anuria. After 3 months of hemodialysis, the parents opted for continuous ambulatory peritoneal
dialysis (CAPD) as they wished to return home located 121km from Dakar. After PD catheter insertion, the plan proposed to the patient consisted 3-
4 hours stasis of isotonic dialysate during the day and a night stasis of 8 hours of icodextrin for an injection volume of 1L per session. The patient
and his mother were trained and assessed on the PD technique. After dialysis adequacy was tested while hospitalised, they were able to return home
and continued the sessions following the same plan prescribed and while keeping in touch, by telephone, with the medical team. The technique
assessment at the day hospital every 2 weeks revealed dialysis adequacy and satisfactory tolerance of PD at home after 04 months of observation.
It was the first case of successful CAPD in the pediatrics unit in this context. Scaling this technique is a challenge for the pediatric nephrologist in
developing countries like Senegal.