Program of peritoneal dialysis (PD), for now by the model of continuous infirmary peritoneal dialysis (CAPD’s) started in 12/12/2009, by implantation of catheters for PD in 3 patients, who were, until then, treated with hemodialysis (HD) and who had exhausted possibilities for creating a permanent blood access for HD.
Patients are then educated and trained for self-treatment at home, which is so continued, with regular controls that are carried out once a month now.

Besides these patients, we have accepted and continued to follow another 4 patients who were on the program of PD, and were treated and controlled in the center of Belgrade.
The regular activities include predialysis education of patients and family members, which is part of an integrated approach to treatment of patients with terminal renal insufficiency, which gives patients a choice of therapeutic procedures.
At the Clinic for Urology, on 4th of May, 2010. was done the catheter implantation for PD, this time without any help of visiting surgeons, in patients who had previously undergone predialysis education program, which is processed in parallel for a kidney transplant.
Simultaneously with the implementation of therapeutic procedures and education of patients, it is developed the organizational structure, which meant the formation of the Protocol of clinical monitoring and treatment of these patients, which includes all procedures that are applied, including examination of peritoneal membrane transport mechanisms, information on necessary laboratory tests and reviews that have not been worked by now.
It was installed a computer program “PD-Adequest” which is used in all developed areas of PD and it provides analysis and planning of PD, with the formation of a database of patients. It also set up a system of supply of patients for PD supplies in cooperation with the Health Insurance Fund and authorized suppliers.
In the regular therapy was introduced a recombinant human erythropoietin beta long action, – MIRCERA, and we became one of the first centers where is applied this kind of treatment.
According to the plan and program for this year, it is planned that this method of treatment include 20 patients. So far, reached number is 8. During this period, it was used supply of two producers who were selected in the tender of CC, Fresenius Medical Care and Baxter.
The amount of material that is spent is as follows:

• Fresenius Medical Care: 212 bags of solution with osmotic component of glucose.
• Baxter: 607 bags with osmotic component ofglucose, 55 bags with a solution of amino acids, 26 bags with lactate solution and 10 bags with osmotic component of icodextrin.

We note that, although this number of patients seems to be small, so far have been made to allow further operation and development of this activity as it had been developed in all clinical centers, thus creating conditions for further increasing the number of patients according to therapeutic indications. Also, it is in the preparation and introduction the automated peritoneal dialysis (APD).

Doctors at the peritoneal dialysis program:
Dr. Dragan Vojvodić – internist
Vlastimir Vlatković, PhD
Internist-nephrologist

Head of Internal Clinic:
Primarius doctor Gordana Jovičić
internist-gastroenterologist