caa a22 4500 477113834 CHVBK 20180405111617.0 cr unu---uuuuu 170330e19960101xx s 000 0 eng 10.1007/BF00451973 doi (NATIONALLICENCE)springer-10.1007/BF00451973 Intermittent peritoneal dialysis (IPD) in the elderly [Elektronische Daten] 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] 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. Kluwer Academic Publishers, 1996 dialysis nationallicence peritoneal dialysis nationallicence peritonitis nationallicence Mitwalli Ahmed Nephrology Unit Department of Medicine (38), King Khalid University Hospital, PO Box 2925, 11461, Riyadh, Saudi Arabia aut Malik Ghulam Nephrology Unit Department of Medicine (38), King Khalid University Hospital, PO Box 2925, 11461, Riyadh, Saudi Arabia aut Al Wakeel Jamal Nephrology Unit Department of Medicine (38), King Khalid University Hospital, PO Box 2925, 11461, Riyadh, Saudi Arabia aut Al Mohaya Suliman Nephrology Unit Department of Medicine (38), King Khalid University Hospital, PO Box 2925, 11461, Riyadh, Saudi Arabia aut El Gamal Hazem Nephrology Unit Department of Medicine (38), King Khalid University Hospital, PO Box 2925, 11461, Riyadh, Saudi Arabia aut Kechrid Mohammed Nephrology Unit Department of Medicine (38), King Khalid University Hospital, PO Box 2925, 11461, Riyadh, Saudi Arabia aut Abu-Aisha Hassan Nephrology Unit Department of Medicine (38), King Khalid University Hospital, PO Box 2925, 11461, Riyadh, Saudi Arabia aut Geriatric Nephrology and Urology Kluwer Academic Publishers 6/1(1996-01-01), 21-25 0924-8455 6:1<21 1996 6 10715 https://doi.org/10.1007/BF00451973 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF00451973 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Mitwalli Ahmed Nephrology Unit Department of Medicine (38), King Khalid University Hospital, PO Box 2925, 11461, Riyadh, Saudi Arabia aut NATIONALLICENCE 700 1- Malik Ghulam Nephrology Unit Department of Medicine (38), King Khalid University Hospital, PO Box 2925, 11461, Riyadh, Saudi Arabia aut NATIONALLICENCE 700 1- Al Wakeel Jamal Nephrology Unit Department of Medicine (38), King Khalid University Hospital, PO Box 2925, 11461, Riyadh, Saudi Arabia aut NATIONALLICENCE 700 1- Al Mohaya Suliman Nephrology Unit Department of Medicine (38), King Khalid University Hospital, PO Box 2925, 11461, Riyadh, Saudi Arabia aut NATIONALLICENCE 700 1- El Gamal Hazem Nephrology Unit Department of Medicine (38), King Khalid University Hospital, PO Box 2925, 11461, Riyadh, Saudi Arabia aut NATIONALLICENCE 700 1- Kechrid Mohammed Nephrology Unit Department of Medicine (38), King Khalid University Hospital, PO Box 2925, 11461, Riyadh, Saudi Arabia aut NATIONALLICENCE 700 1- Abu-Aisha Hassan Nephrology Unit Department of Medicine (38), King Khalid University Hospital, PO Box 2925, 11461, Riyadh, Saudi Arabia aut NATIONALLICENCE 773 0- Geriatric Nephrology and Urology Kluwer Academic Publishers 6/1(1996-01-01), 21-25 0924-8455 6:1<21 1996 6 10715 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer