{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,9]],"date-time":"2026-11-09T20:43:59Z","timestamp":1794257039874,"version":"4.9.0"},"reference-count":27,"publisher":"Springer Science and Business Media LLC","issue":"10","license":[{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Pediatr Nephrol"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Neonates with kidney failure require placement of a peritoneal dialysis catheter (PD\u2013C) shortly after birth. PD\u2013C malfunction and peritonitis, both common in this population, are associated with PD failure. The aim of this study was to describe our center\u2019s PD\u2013C-related practices and outcomes in neonates with kidney failure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We performed a retrospective chart review of neonates who required kidney replacement therapy (KRT) within the first 30\u00a0days of life from 01\/2018\u201312\/2023. We evaluated for PD\u2013C duration, PD\u2013C replacement or revision, and peritonitis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Twenty-four neonates had PD\u2013C placed for chronic dialysis at a median of 9.7\u00a0days and 3\u00a0kg. Peritoneal dialysis (PD) was initiated a median of 14\u00a0days after PD\u2013C placement, at a median age of 26.5\u00a0days. During a median follow-up time of 26.2\u00a0months, there were 42 PD\u2013Cs tracked. Initial PD\u2013C lasted a median of 355\u00a0days (IQR 165\u2013632, range 50\u2013953). Reasons for removal of initial PD\u2013C included mechanical complications (38%), kidney transplant (25%), and infection (21%). There were 44 episodes of peritonitis in 19 patients. Seventeen of these episodes (39%) occurred within four weeks of a surgical procedure, despite all patients but one receiving perioperative antibiotic prophylaxis for all surgical procedures. The overall rate of peritonitis was 0.34 per 100-catheter days.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>PD\u2013C complications are common in this highly complex population, despite mitigation attempts with perioperative antibiotics. Future work should focus on neonatal-specific recommendations for surgery timings and prophylaxis to reduce the risk of infection and PD failure in the neonatal kidney failure population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00467-026-07323-5","type":"journal-article","created":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T11:00:24Z","timestamp":1777633224000},"page":"3509-3518","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Peritoneal dialysis catheter complications in neonates with kidney failure"],"prefix":"10.1007","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-5319-9052","authenticated-orcid":false,"given":"Shannon","family":"Reinert","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maanasa","family":"Yarlagadda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Bondoc","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Donna","family":"Claes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefanie","family":"Riddle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7854-8138","authenticated-orcid":false,"given":"Meredith P.","family":"Schuh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,5,1]]},"reference":[{"key":"7323_CR1","doi-asserted-by":"publisher","first-page":"e468","DOI":"10.1542\/peds.2006-1754","volume":"119","author":"WA Carey","year":"2007","unstructured":"Carey WA, Talley LI, Sehring SA, Jaskula JM, Mathias RS (2007) Outcomes of dialysis initiated during the neonatal period for treatment of end-stage renal disease: a North American Pediatric Renal Trials and Collaborative Studies special analysis. 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