2017 Volume 30 Issue 2 Pages 135-140
In pediatric patients with chronic renal failure, peritoneal dialysis (PD), which requires sanitary care by the family, is often selected. Therefore, it is necessary to ensure electricity, water, and a clean space. We investigated the effect of Kumamoto earthquake on seven patients treated with PD by pediatricians in Kumamoto prefecture in 2016. Power and water outages occurred in six patients’ houses; two were hospitalized; two performed continuous ambulatory peritoneal dialysis (CAPD) in a car or in an infirmary at evacuation shelters; one was evacuated outside the prefecture; and one was at home. Peritonitis or exit-site infection occurred in two patients in later days. Chiefly, regular prescribing dialysate fluids and fixtures for two weeks of stock caused no problems, and it was possible to get in touch with patients and provide a quick response. We propose three points as follows: 1) to prepare to carry out CAPD at home at any time, 2) to cooperate with local hospitals usually, and 3) to secure a dialysis environment and to recommend the hospital management as much as possible at the time of disaster.
