RESUMEN
Fifteen children with end-stage renal failure (ESRF) were treated with continuous ambulatory peritoneal dialysis (CAPD) in the Children's Hospital Temple Street Dublin between July 1984 and December 1988. These fifteen children had 150.5 treatment months, an average of 10.03 treatment months for each child. The children grew well during CAPD at an average of 0.59 cm per month. Blood pressure control was satisfactory with five out of 15 children requiring antihypertensive treatment during CAPD. The main complications of CAPD were peritonitis and catheter related problems. These 15 children experienced 47 episodes of peritonitis during 150.5 treatment months on CAPD with an average of one episode every 3.2 treatment months. Two of these children had a very high frequency of peritonitis (16 and 13 episodes each). If we exclude them from analysis, the remaining 13 children had frequency of one episode every 5.7 treatment months. During 150.5 treatment months, ten children required catheter replacement that is one catheter every 15 treatment months. One child died of candida peritonitis and to date twelve have proceeded to renal transplantation.
Asunto(s)
Diálisis Peritoneal Ambulatoria Continua , Niño , Preescolar , Femenino , Humanos , Lactante , Fallo Renal Crónico/etiología , Fallo Renal Crónico/terapia , Masculino , Diálisis Peritoneal Ambulatoria Continua/efectos adversos , Peritonitis/etiologíaRESUMEN
A prospective survey was carried out over a three month period to assess the incidence of accidental poisoning in children. The survey also examined the role of child resistant closures (CRC) and other form of packaging in the prevention of poisoning. Two hundred and six children with suspected poisoning attended the casualty departments of the three Dublin children's hospitals surveyed. Ninety three percent of the children were less than five years old. Medications were thought to have been ingested by 65%, household or gardening products by 34% and plants by 1%. Most children had no symptoms and received no treatment except emesis or oral fluid and demulcents. Twenty five percent required admission to hospital. There were no fatalities during the study period. Only 8.5% of the medications involved had been in containers with CRC's. Twenty percent were in blister packs or strips. A substantial number of poisonings occurred at a time when medicines were not in their normal place although in most cases they were still in the original container. We propose a two-phase approach to poisoning prevention--more widespread use of CRC's and public education on safe storage of medicines.