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PD – young children — RACP Paediatrics MCQ

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ModerateNephrologyPD – young childrenRACP Paediatrics

A 2-year-old with end-stage kidney disease requires long-term renal replacement therapy. The family is counselled about options. What is the preferred modality of chronic dialysis in young children?

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Correct answer: B — Peritoneal dialysis

Peritoneal dialysis (PD) is the preferred chronic dialysis modality in young children. It allows home-based therapy, avoids vascular access difficulties, preserves residual renal function better than HD, and allows greater flexibility for families. Automated PD (APD) with overnight cycling is most commonly used. Transplantation remains the gold standard for long-term RRT.

Reference: RCH Melbourne – 2023 – Dialysis CPG; RACP Paediatric Curriculum – Nephrology