TITLE:
Non-Infectious Complications of Peritoneal Dialysis in Senegal
AUTHORS:
Ahmed Tall Lemrabott, Maria Faye, Moustapha Faye, Abdoul Hassane Sanlé Traoré, Mouhamadou Moustapha Cissé, Khodia Fall, Yaya Kane, Zeinabou Maiga Moussa Tondi, Mansour Mbengue, Bacary Ba, Niakhalee Keita, Seynabou Diagne, Abdou Niang, Boucar Diouf, El Hadji Fary Ka
KEYWORDS:
Peritoneal Dialysis, Non-Infectious Complications, Catheter Migration, Hypoalbuminemia, Hypokalaemia
JOURNAL NAME:
Open Journal of Nephrology,
Vol.10 No.1,
March
12,
2020
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.