(untitled) (Iraqi Journal of Medical Sciences, 2016)
Background:Acute peritoneal dialysis is commonly practiced in IRAQ. Objective:To evaluate and improve the management of peritoneal dialysis in Al-Kindi Teaching Hospital. Methods: Six hundred and sixty nine patients underwent peritoneal dialysis during the period from January 2011 to June 2012. The mean age of patients was 54±13.9 years. Among the patients, there were 168 cases of acute renal failure, and 501 cases of chronic renal failure requiring acute dialysis. Results:Acute peritoneal dialysis performed on patients admitted in dialysis unit of Al-Kindi Teaching Hospital was safe, a simple procedure, easily tolerated by the patient and requiring less expertise than hemodialysis and had complication rates nearly comparable to other established centers. Complications occurred in 349 patients (52%). The most common complication was bleed¬ing in the peritoneal cavity (30%) while dialysis solution leak was the second most common complication (25%). Dialysis episodes complicated by peritonitis was (2.5%). Death rate was 15%. Conclusion:Acute peritoneal dialysis was performed safely and effectively in Al-Kindi Teaching Hospital. Improvements are possible through closer supervision of new doctors and tighter nursing precaution. Key Words:Acute peritoneal dialysis, outcome.