Haddiya Intissar, Skalli Zoubeir, Lioussfi Zineb, Radoui Aicha, Ouzeddoun Naima, Ezaitouni Fatima, Rhou Hakima, Bayahia Rabia, Benamar Loubna
Service de néphrologie, dialyse et transplantation rénale, CHU Ibn Sina, Rabat, Maroc.
Nephrol Ther. 2010 Dec;6(7):569-75. doi: 10.1016/j.nephro.2010.07.017.
Peritoneal dialysis (PD) is a renal replacement therapy method that could be proposed in the first intention for the treatment of end stage renal disease (ESRD). The aim of the study is to describe the beginning and development of PD in "Ibn Sina" University Hospital in Rabat, and to evaluate the outcome of the patients treated by this technique.
It is a descriptive study between July 2006 and December 2009, including 41 ESRD patients treated by PD. PD parameters as well as clinical and biological data were collected and analyzed.
The average age of our patients was 45.8±17.4-year-old. The sex-ratio (M/F) was 1.9. Professionally active patients (50%) as well as students (14) kept their activity throughout the study. Initially, 68.2% of the patients had hypertension whereas, at the end of the study, only 25.8% still suffered from hypertension. A better quality of dialysis as well as the conservation of a residual renal function were ensured in PD with 92.6% of the patients having a residual clearance higher than 2 mL/min. A correction of anemia was noted with higher rates of hemoglobin after the beginning of the treatment by peritoneal dialysis. None of our cases presented a denutrition and all our diabetic patients did not worsen with the exchanges in PD.
PD has recently been introduced in Morocco. It must be encouraged and sustained. In our study, we noted a good quality of dialysis and a conservation of the residual renal function. These results should encourage the promotion of this technique, especially that there is an inequality of distribution of hemodialysis centers in Morocco and the inability to deal with all ESRD patients. Furthermore, renal transplantation is not always possible in our country. For that, a specific program of information of both generalists and specialists, especially nephrologists must be established.
