DOI: https://doi.org/10.36347/sjams.2025.v13i02.013

Pages: 370-376

Continuous ambulatory peritoneal dialysis (CAPD) is a globally accepted form of renal replacement therapy (RRT) and gaining popularity day by day. To evaluate the complications and outcome related to CAPD this study was carried out at a tertiary care hospital in Bangladesh on 36 patients of end stage renal disease (ESRD) underwent CAPD from January 2019 to December 2023. All study patients were followed-up routinely from first month to 24th month of CAPD. We observed different complications (infectious and mechanical) and outcomes of CAPD among 36 patients occurring during the course of study. Mean age of the study patients was 62.7±6.68 years, with a predominance of middle-aged males from urban areas. Diabetic nephropathy was the leading (56%) cause of ESRD followed by hypertension (17%), glomerulonephritis (14%), obstructive nephropathy (5%), sepsis (5%) and unknown etiologies (3%). Peritonitis was the most common complication in our study occurring in 41.64% of study patients. The most common organism responsible was Staphylococcus Aureus (11.11%) followed by E. coli (5.55%), Pseudomonas (5.55%), Fungi (2.77%) and Acinetobacter (2.77%). Exit-side infections were observed in 8.3% patients and severe malnutrition was observed in 5.6% patients. Mechanical complication like peri-catheter leaks (5.6%), catheter malposition (2.8%), hydrothorax (2.8%), umbilical hernia (5.6%), inguinal hernia (2.8%), and scrotal swelling (2.8%) were also seen. At the end of 24 months, 56% patients were continuing CAPD, 11% was shifted to hemodialysis (HD), 8% of study patients was improved from acute kidney injury (AKI), however 25% was died due to septicemia and cardiac causes.