Non-Infectious Complications of Peritoneal Dialysis in Senegal

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DOI: 10.4236/ojneph.2020.101006    586 Downloads   1,661 Views  

ABSTRACT

Introduction: Senegal has pioneered the implementation of peritoneal dialysis (PD) in West Africa, practicing it since 2004. Non-infectious complications are a significant cause of failure of this technique and the transfer of patients to haemodialysis. The aim of this study was to determine the prevalence and the different types of non-infectious complications in our context. Patients and Methods: This was a 5-year, descriptive, retrospective study of patients on chronic peritoneal dialysis for more than 3 months. Results: During the study period, 75 patients were included. The prevalence of non-infectious complications was 88%, including 45.3% mechanical complications and 76% metabolic complications. Catheter migration was the most common mechanical complication (55.9%), followed by catheter blockage (23.5%). Metabolic complications were dominated by hypoalbuminemia (76.3%). Dyslipidaemia and hypokalaemia affected more than 50% of patients, occurring in 59.3% and 56.9% of cases, respectively. Conclusion: In our study, non-infectious complications related to PD were frequent and varied. They remain a significant cause of technical failure. Mechanical complications are often the cause of permanent transfer to haemodialysis.

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Lemrabott, A. , Faye, M. , Faye, M. , Traoré, A. , Cissé, M. , Fall, K. , Kane, Y. , Tondi, Z. , Mbengue, M. , Ba, B. , Keita, N. , Diagne, S. , Niang, A. , Diouf, B. and Ka, E. (2020) Non-Infectious Complications of Peritoneal Dialysis in Senegal. Open Journal of Nephrology, 10, 43-49. doi: 10.4236/ojneph.2020.101006.

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