Author(s): Abdulla A. Al-Harthi
To have a base line of findings to evaluate the introduction of the pediatric peritoneal dialysis unit which was established recently in Aseer Central Hospital. Over a 10 year period (January 1998 to December 2007), a total of 89 patients below the age of 18 years were diagnosed with chronic renal failure. Their records were reviewed and information about age, sex and age at diagnosis, primary diseases, modalities of treatment, biochemical blood tests and radiological and kidney biopsy findings were all studied. Results: The mean age at diagnosis was 8.6 ± 6.3 years. The male: female ratio was 50.6:49.4. Etiological factors for CRF included congenital urological malformation (44.9%), glomerulonephritis (20.2%), hereditary disorder (10.1%), miscellaneous (11.2%) and unknown etiology (13.5%). Conservative treatment alone was performed in 32.5%, hemodialysis in 40.5% and peritoneal dialysis in 20.2%. Six cases were transplanted. Conclusion: The early recognition of congenital malformation and early treatment of recurrent urinary tract infection will prevent this condition.