Continuous Ambulatory Peritoneal Dialysis Programme:Experience of State Run Tertiary Care Centre

Background : Chronic ambulatory peritoneal dialysis (CAPD) is a form of renal replacement therapy in patients with end-stage renal failure in India, other than hemodialysis. Because of its cost and technical demand was mostly used in urban area in India. The objective of this paper is to report the experience with CAPD as a modality of renal replacement therapy from a tertiary care hospital in south India with low socioeconomic group of population. Methods.: We report a prospective study in a large south indian tertiary hospital. This study involved the patients who were initiated on CAPD between april 2011 and january 2016 and who survived and/or had more than 6 months follow up on this treatment with last follow up till July 30, 2016 Infection rates as well as factors that may influence them were studied. Results.: Forty five patients were enrolled. There were 24 males and 21 females. The mean age was 46±10 (range 5-70) years and mean duration on dialysis at the end of the trial period was 23 months. Shift to haemodialysis occurred in 13.3% of patients ( n=6). One patient had exit-site infection, six patients had peritonitis and 4 lead to removal of catheter. Other 2 cases catheter removal done for migration and in that one underwent reinsertion.16 patients died in the study. The main cause of death was cardiovascular complications. Peritonitis rate is 1 in 32 patient months, which is better than the guidelines. Conclusion.: Chronic ambulatory peritoneal dialysis (CAPD) is a safe and viable mode of renal replacement in low socioeconomic group of population. The peritonitis rate and aetiology are similar to the developed world. It can use as procedure for ESRD patients dwelling in low socioeconomic group of population in developing countries such as India.