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Revista Colombiana de Nefrología

On-line version ISSN 2500-5006

Abstract

FAJARDO-LEITZELAR, Fernando Arturo et al. Analysis of patients in peritoneal dialysis: clinical-epidemiologic factors and peritoneal transport type with. Rev. colom. nefrol. [online]. 2018, vol.5, n.2, pp.146-155. ISSN 2500-5006.  https://doi.org/10.22265/acnef.0.0.302.

Introduction:

Peritoneal dialysis has been an effective therapy in the management of patients with end-stage renal failure.

Objective:

To determine the characteristics of the population and the type of peritoneal transport using hypertonic dialyzing solution.

Methods and Materials:

Prospective and cross-sectional study in patients of the Nephrology Service of the Hospital Escuela Universitario of Tegucigalpa during the period from October 1 to November 15, 2016.

Results:

Diabetic nephropathy was associated as the cause of chronic kidney disease in 18 (42.9%) patients, followed by nephropathy hypertensive disease with 14 (33.3%) and Mesoamerican nephropathy with 8 (19.0%). The most frequent type of peritoneal transport was the high average in 21 (50.0%) of the patients, followed by the low average with 12 (28.6%), low transport with 7 (16.7%) and high transport with 2 (4.8%).

Discussion:

In Central America during the last years there has been an increase in the incidence of kidney disease in workers from the Pacific coast, especially male farmers with no risk factors, thus constituting the epidemic of Mesoamerican nephropathy. There is a relationship between the increase in solutes transfer and the decrease of the ultrafiltration with the passage of time.

Conclusions:

Mesoamerican nephropathy is an emerging cause of disease in the region. No relationship was found between prolonged peritoneal dialysis time or the history of peritonitis with low peritoneal transport.

Keywords : Kidney diseases; peritoneal dialysis; peritoneal balance test; peritoneal transport; peritoneum; Honduras.

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