Peritoneal Dialysis at Ibn Sina Hospital in Rabat: 10 years’ experience


  • Meryem Benbella Néphrologie
  • Aziza Guennoun
  • Mohamed Belrhiti
  • Tarik Bouattar
  • Rabia Bayahia
  • Naima Ouzeddoun
  • Loubna Benamar



end stage renal disease, peritoneal dialysis, therapeutic education, Marocco



The choice of dialysis modality has become an important decision that affects not only the country's health policy in the management of chronic end stage renal failure, but also the quality of life of patients and their survival. Peritoneal dialysis is an alternative for the treatment of these patients. The objective of our work is to report the epidemiological, clinical and biological results in the unit of PD, UHC of Rabat and to clarify the obstacles to the development of PD in Morocco. 

Material and Methods: 

We conducted a descriptive retrospective study in our PD unit from July 2006 to July 2017, including all patients who were in PD by choice or necessity and enrolled in the French Peritoneal Dialysis Registry (RDPLF). 

Results: In 10 years, 159 patients were placed in PD, with an average age of 50.44 +/- 17.42 years and a sex ratio of 1.36. The indication for placement of setting in PD was by choice in 34% of the cases, social in 52% and medical in 14% of cases. Mechanical complications were dominated by catheter migrations. Infectious complications were represented by peritonitis, caused by poor of hygiene in 42% of cases.

Conclusion: The obstacles to the development of PD are the lack of knowledge of the technique by the patients, as well as the prejudices or myths about the technique.


- Van Biesen W, et al. An evaluation of an integrative care approach for end-stage renal disease patients. Am J Soc Nephrol 2000; 11: 116-25.

- Kessler M, et al. Impact of nephrology referral on early and midterm outcomes in ESRD: results of a 2-year, prospective, community-based study. Am J Kidney Dis 2003;42(3):474-85.

- Frimat L, Durand PY, et al. Impact of first dialysis modality on outcome of patients contraindicated for kidney transplant. Perit Dial Int 2006;26(2):231-9.

- De Vecchi AF, Dratwa M, et al. Healthcare systems and end-stage renal disease (ESRD) therapies--an international review: costs and reimbursement/funding of ESRD therapies. Nephrol Dial Transplant. 1999; 14 Suppl 6:31-41.

- Lang SM, et al. Preservation of residual renal function indialysis patients: effects of dialysis-techniquerelated factors. Perit Dial Int 2001;21(1):52-7.

- Jansen MAM, Hart AAM et al. Predictors of the rate of decline of residual renal function in incident dialysis patients.KidneyInt 2002;62(3):1046-53.

- Ryckelynck JP, Lobbedez T, Ficheux, et al. Actualités en dialyse péritonéale. Presse Med 2007;36:1823–8.

- R. Lukowsky et al. Comparing Mortality of Peritoneal and Hemodialysis Patients in the First 2 Years of Dialysis Therapy: A Marginal Structural Model Analysis Lilia. Clin J Am SocNephrol 2013; 8: 619–628.

- Hasan Abu-Aisha, et al. PERITONEAL DIALYSIS IN AFRICA. Peritoneal Dialysis International 2008, Vol. 30, pp. 23–28.

- Jager KJ, et al. The effect of contraindications and patient preference on dialysis modality selection in ESRD patients in The Netherlands. Am J Kidney Dis. 2004; 43: 891-9.

- Korecaar JC, et al. What have we learned from Necosad Pratical implication for peritoneal dialysis patients. Perit Dial Int. 2007;27: 11-5.

- Rabindranath KS, et al. Continuous ambulatory peritoneal dialysis versus automated peritoneal dialysis for end-stage renal disease. Cochrane Database of Systematic Reviews 2007, Issue 2. Art. No.: CD006515.

- Ronco C, et al. Complications of the Peritoneal Access and Their Management. Peritoneal Dialysis From Basic Concepts to Clinical Excellence. ContribNephrol. Basel, Karger, 2009;163: 183–197

- Christian Verger, Ghislaine Veniez , Max Dratwa. Variability of aseptic peritonitis rates in the RDPLF.

- M. Recorbet, et al. Prévention des infections du liquide de dialyse chez les patients traités par la dialyse péritonéale. Journal des Anti-Infectieux

Volume 2015 ; 17 (4) ,141-144

- S. Bekaoui et al. Infectious peritonitis profile in peritoneal dialysis at Ibn Sina University Hospital: a 6-year data report; International Journal of Nephrology and Renovascular Disease 2014:7

- K. Flayou et al. Mechanical Complications of Continuous Ambulatory Peritoneal Dialysis: Experience at the Ibn Sina University Hospital. Saudi J Kidney Dis Transpl 2016;27(1):107-110



How to Cite

Benbella M, Guennoun A, Belrhiti M, Bouattar T, Bayahia R, Ouzeddoun N, Benamar L. Peritoneal Dialysis at Ibn Sina Hospital in Rabat: 10 years’ experience . Bull Dial Domic [Internet]. 2020 Apr. 9 [cited 2023 Mar. 28];3(1):27-35. Available from: