Non-infectious complications of peritoneal dialysis in senegal

Abstract

Introduction: Senegal has pioneered the implementation of peritoneal dialy- sis (PD) in West Africa, practicing it since 2004. Non-infectious complica- tions are a significant cause of failure of this technique and the transfer of pa- tients to haemodialysis. The aim of this study was to determine the preva- lence 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 compli- cations 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 pa- tients, 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 complica- tions are often the cause of permanent transfer to haemodialysis.