MANAGEMENT OF END-ST AGE RENAL DISEASE WITH INTERMITTENT

Sir: I read with interest the TrevinoBecerra letter ( I) regarding the advantages of intermittent peritoneal dialysis (IPD) in developing countries. Continuous ambulatory peritoneal dialysis (CAPD), although an accepted form of therapy in many developed nations, is not suitable in underdeveloped areas because of lack of personal hygiene, poor housing conditions, lack of sanitation and the low level of literacy. IPD is performed regularly in the Dhaka Postgraduate Hospital, Dhaka, Bangladesh as the only therapy in patients with end-stage renal disease (ESRD). Over the last three years, we have managed 112 patients with ESRD with this treatment. The mean age of these patients wa