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Semin Fetal Neonatal Med. 2008 Jun;13(3):181-8. Epub 2007 Nov 26.

Management of the neonate with chronic renal failure.

Author information

1
Great Ormond Street Hospital for Children NHS Trust, Great Ormond Street, London, UK. Reesl@gosh.nhs.uk

Abstract

The number of infants requiring chronic dialysis is small and has remained stable over the last decade. The majority have structural abnormalities of the urinary tract and over 50% are diagnosed antenatally. Mortality rate is high, particularly in infants with comorbidity, but has been improving. Management presents many challenges: as well as ethical issues, complications of dialysis are common and most infants need enteral feeding. Commitment from the family and medical team is crucial for success. However, the long-term outcome for otherwise healthy infants is comparable to that of older children.

PMID:
18039598
DOI:
10.1016/j.siny.2007.10.007
[Indexed for MEDLINE]

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