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- W2614950913 abstract "Options for Renal Replacement Therapy (RRT) are limited in Nepal. Most patients with end stage renal disease receive hemodialysis, which are largely located within the capital city only. Continuous ambulatory peritoneal dialysis (CAPD) was started in 2002 in B P Koirala Institute of Health Sciences, a teaching university hospital in eastern Nepal. We present initial experience, barrier for development of CAPD service and possible opportunities for the growth of CAPD in Nepal. A total of 29 patients were enrolled in the program till 2004. Mean age of the patient was 62±14 years. Majority had diabetes (n=20). The overall incidence rate of peritonitis was 0.43 episodes per patients-year. Staphylococcus aureus was the commonest organism isolated and one third had culture sterile peritonitis. Four patients dropped out from therapy due to financial reasons. One patient switched over to hemodialysis. Ten patients died (Cerebrovascular disease=5. Peritonitis=l, sepsis=2, others=2). BPICHIS remained only CAPD service provider to patients till 2007. Thereafter it was also initiated in Kathmandu. The likely major harriers in the development of CAPD in Nepal are limited expertise, physician's biasness towards hemodialysis and lack of pre-dialysis counseling. On the other hand because of remoteness of hemodialysis centers and higher cost of setup for hemodialysis, CAPD is likely to be a better choice over hemodialysis in Nepal. This initial experience on CAPD is encouraging and can be used to build up CAPD program in Nepal. Growth of CAPD in Nepal can be achieved through creating awareness among physicians on CAPD, expertise development and, providing proper pre-dialysis counseling to the patients." @default.
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- W2614950913 date "2009-04-16" @default.
- W2614950913 modified "2023-09-27" @default.
- W2614950913 title "Initiation of Continuous Ambulatory Peritoneal Dialysis in Nepal: Opportunities and Challenges" @default.
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