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Correspondence
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Volume 348:858-860 February 27, 2003 Number 9
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Hemofiltration and Peritoneal Dialysis in Infection-Associated Acute Renal Failure

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by Daugirdas, J. T.
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by Phu, N. H.
-PubMed Citation
To the Editor: The study by Phu et al. (Sept. 19 issue)1 demonstrated that peritoneal dialysis is associated with a poorer outcome than hemofiltration in the treatment of infection-associated acute renal failure. We believe that certain factors in addition to the one discussed by Daugirdas in the accompanying editorial2 may account for this poorer outcome.

The very short dwell time — a half-hour — may account for the poor clearance, leading to higher creatinine levels and slower correction of acidosis, and may explain the considerably poorer outcome in the patients who underwent peritoneal dialysis. The volume of dialysate used may . . . [Full Text of this Article]



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