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Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis

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https://read.qxmd.com/read/30739095/clinical-value-of-screening-peritoneal-dialysis-patients-for-bacterial-colonization-or-contamination
#1
Rajeevalochana Parthasarathy, Tasnuva Kashem, Caoimhe NicFhogartaigh, Mark Melzer, Stanley Fan
INTRODUCTION: The adoption of the International Society for Peritoneal Dialysis guideline of using mupirocin ointment has been limited by fear of developing mupirocin-resistant organisms. We performed a surveillance program of a large peritoneal dialysis (PD) unit. METHODS: We performed 1,175 surveillance swabs from anterior nares, PD catheter exit site, groin, and axilla, from 240 patients. The mean interval between swabs was 3.3 months. RESULTS: Colonization by Staphylococcus aureus (S...
February 9, 2019: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://read.qxmd.com/read/30739094/the-association-of-functional-status-with-mortality-and-dialysis-modality-change-results-from-the-peritoneal-dialysis-outcomes-and-practice-patterns-study-pdopps
#2
Karthik K Tennankore, Junhui Zhao, Angelo Karaboyas, Brian Bieber, Bruce M Robinson, Hal Morgenstern, Sarbjit V Jassal, Fredric O Finkelstein, Talerngsak Kanjanabuch, Areewan Cheawchanwattana, Ronald L Pisoni, James Sloand, Jeffrey Perl
BACKGROUND: Little is known about the prevalence of functional impairment in peritoneal dialysis (PD) patients, its variation by country, and its association with mortality or transfer to hemodialysis. METHODS: A prospective cohort study was conducted in PD patients from 7 countries in the Peritoneal Dialysis Outcomes and Practice Patterns Study (PDOPPS) (2014 - 2017). Functional status (FS) was assessed by combining self-reports of 8 instrumental and 5 basic activities of daily living, using the Lawton-Brody and the Katz questionnaires...
February 9, 2019: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://read.qxmd.com/read/30661007/longitudinal-trends-in-quality-of-life-and-physical-function-in-frail-older-dialysis-patients-a-comparison-of-assisted-peritoneal-dialysis-and-in-center-hemodialysis
#3
Osasuyi Iyasere, Edwina A Brown, Fabiana Gordon, Helen Collinson, Richard Fielding, Richard Fluck, Lina Johansson, Neal Morgan, John Stoves, Anand Vardhan, Graham Woodrow, Andrew Davenport
BACKGROUND: In-center hemodialysis (HD) has been the standard treatment for older dialysis patients, but reports suggest an associated decline in physical and cognitive function. Cross-sectional data suggest that assisted peritoneal dialysis (aPD), an alternative treatment, is associated with quality of life (QoL) outcomes that are comparable to in-center HD. We compared longitudinal changes in QoL between modalities. METHODS: We enrolled 106 aPD patients, matched with 100 HD patients from 20 renal centers in England and Northern Ireland...
January 18, 2019: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://read.qxmd.com/read/30661006/fluid-tonicity-affects-peritoneal-characteristics-derived-by-3-pore-model
#4
Joanna Stachowska-Pietka, Jan Poleszczuk, Josep Teixido-Planas, Josep Bonet-Sol, Maria I Troya-Saborido, Jacek Waniewski
BACKGROUND: It is typically assumed that within short timeframes, patient-specific peritoneal membrane characteristics are constant and do not depend on the initial fluid tonicity and dwell duration. The aim of this study was to check whether this assumption holds when membrane properties are estimated using the 3-pore model (3PM). METHODS: Thirty-two stable peritoneal dialysis (PD) patients underwent 3 8-hour peritoneal equilibration tests (PETs) with different glucose-based solutions (1...
January 18, 2019: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://read.qxmd.com/read/30661005/b-type-natriuretic-peptide-levels-and-cardiac-dysfunction-in-children-on-peritoneal-dialysis
#5
Young Seo Park, Jae Suk Baek, Jeong Jin Yu, Young-Hwue Kim, Jae-Kon Ko, Joo Hoon Lee
BACKGROUND: Abnormalities in left ventricular (LV) structure and function are prevalent in patients on peritoneal dialysis (PD). The risk of cardiovascular mortality is also 10 - 20 times higher in PD patients than in age- and gender-matched healthy control subjects. METHODS: Echocardiography was performed annually or every 6 months for children on PD; the frequency was increased if the patient had hypertension or any heart problem. We retrospectively reviewed echocardiographic findings of these children (since February 2005) by chart review...
January 18, 2019: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://read.qxmd.com/read/30661004/an-intervention-design-supporting-skills-development-for-peritoneal-dialysis-trainers
#6
Josephine S Chow, Yeoungjee Cho, Keri-Lu Equinox, Ana E Figueiredo, Serena Frasca, Carmel M Hawley, Kirsten Howard, David W Johnson, Matthew D Jose, Anna Lee, Moira A Maley, Jo-Anne Moodie, Peta-Anne P Brent, Elaine M Pascoe, Donna Reidinger, Genevieve Z Steiner, Melinda Tomlins, David Voss, Paula Woodward, Neil C Boudville
BACKGROUND: Peritoneal dialysis (PD) is a home-based therapy where nurses train patients in its use. There has been no published randomized controlled trial (RCT) evaluating any specific protocol for nurses delivering PD training. A standardized education package based upon the best available evidence and utilizing modern educational practices may lead to improved patient outcomes. The aim is to develop a standardized, evidence-based curriculum for PD trainers and patients aligned with guidelines from the International Society for Peritoneal Dialysis (ISPD), using best practice pedagogy...
January 18, 2019: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://read.qxmd.com/read/30661003/relationships-between-peritoneal-protein-clearance-and-parameters-of-fluid-status-agree-with-clinical-observations-in-other-diseases-that-venous-congestion-increases-microvascular-protein-escape
#7
Raymond T Krediet, Suree Yoowannakul, Lauren S Harris, Andrew Davenport
BACKGROUND: Peritoneal effluent from peritoneal dialysis (PD) patients contains proteins, mainly transported from the circulation through large pores in the venular part of the peritoneal micro-vessels. Hydrostatic convection is the major driver for peritoneal protein transport, although in PD there is additional diffusion. Consequently, venous pressure may have a role in peritoneal protein transport. The aim of the study was to investigate the importance of venous congestion on the magnitude of peritoneal protein clearance in incident PD patients using non-invasive measurements...
January 18, 2019: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://read.qxmd.com/read/30478143/health-literacy-how-do-we-improve-the-conversation-at-the-heart-of-healthcare-when-we-know-so-many-people-are-struggling-with-it
#8
Blythe Robertson, Annamarie Horne, Eleri Williams
The Scottish Government published "Making it Easy - A Health Literacy Action Plan for Scotland" in 2014, and in 2017 the next steps were set out in "Making it Easier - A Health Literacy Action Plan for Scotland 2017-2025." This article discusses what health literacy is, outlining the key points from these national action plans. The importance of understanding and addressing health literacy in relation to renal services, and dialysis in particular, is highlighted by use of an example of a Scottish renal unit's practice to outline the principles being used in a service...
November 25, 2018: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://read.qxmd.com/read/30478142/exercise-capacity-and-association-with-quality-of-life-in-peritoneal-dialysis-patients
#9
Kiyotaka Uchiyama, Naoki Washida, Kaori Muraoka, Kohkichi Morimoto, Takahiro Kasai, Kentaro Yamaki, Kazutoshi Miyashita, Shu Wakino, Hiroshi Itoh
BACKGROUND: Muscle wasting, common and progressive in uremic patients, is associated with a high probability for morbidity, lower health-related quality of life (HRQOL), and mortality. However, exercise tolerance in peritoneal dialysis (PD) patients has not been fully elucidated. The aim of this study was to evaluate exercise capacity, its determinants, and its association with HRQOL in PD patients. METHODS: Outpatients treated with PD at Keio University Hospital from December 2016 to March 2018 were included in this single-center cross-sectional observational study...
November 25, 2018: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://read.qxmd.com/read/30478141/epithelial-to-mesenchymal-transition-and-migration-of-human-peritoneal-mesothelial-cells-undergoing-senescence
#10
Edyta Kawka, Janusz Witowski, Pilar C Sandoval, Andras Rudolf, Angela Rynne Vidal, Manuel Lopez Cabrera, Achim Jörres
BACKGROUND: Epithelial-to-mesenchymal transition (EMT) of human peritoneal mesothelial cells (HPMCs) contributes to fibrotic thickening of the peritoneum that develops in patients on peritoneal dialysis (PD). The process is thought to be largely mediated by transforming growth factor-beta (TGF-β). As TGF-β has also been implicated in senescence of HPMCs, we have performed an exploratory study to examine if senescent HPMCs can undergo EMT. METHODS: Omentum-derived HPMCs were rendered senescent by repeated passages in culture...
November 25, 2018: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://read.qxmd.com/read/30478140/association-of-b-type-natriuretic-peptide-level-with-residual-kidney-function-in-incident-peritoneal-dialysis-patients
#11
Yasuhiro Kawai, Shigeru Tanaka, Hisako Yoshida, Masatoshi Hara, Hiroaki Tsujikawa, Kazuhiko Tsuruya, Takanari Kitazono
BACKGROUND: Residual kidney function (RKF) is an important factor influencing both technique and patient survival in peritoneal dialysis (PD) patients. B-type natriuretic peptide (BNP) is considered a marker of cardio-renal syndrome. The relationship between BNP and RKF in PD patients remains unclear. METHODS: We conducted a prospective study of 89 patients who had started and continued PD for 6 months or more in Kyushu University Hospital between June 2006 and September 2015...
November 25, 2018: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://read.qxmd.com/read/30478139/outcomes-of-the-weighted-peritoneal-dialysis-catheter-in-patients-at-risk-of-percutaneous-catheter-failure
#12
Stephen Stonelake, Jyoti Baharani, Mark Thomas, Roger Adkins, Lee Hollingsworth, Teun Wilmink
BACKGROUND: The weighted catheter has shown promising results in retrospective and randomized studies. We examined its usefulness in patients with previous failed non-weighted peritoneal dialysis (PD) catheters or previous abdominal surgery. METHODS: The insertion, start, end, and removal dates were recorded for all-type catheter insertions from 2011 to 2016. Primary and secondary failure rates were recorded, defined as failure to ever establish flow (primary) or failure after a period of successful PD (secondary)...
November 25, 2018: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://read.qxmd.com/read/30478138/early-detection-of-imminent-encapsulating-peritoneal-sclerosis-free-water-transport-selected-effluent-proteins-or-both
#13
Deirisa Lopes Barreto, Denise E Sampimon, Dirk G Struijk, Raymond T Krediet
BACKGROUND: No diagnostic tool or methodology is currently available for early detection of imminent encapsulating peritoneal sclerosis (EPS). The objective of this study was to investigate the predictive value of free water transport (FWT) and construct a panel of peritoneal effluent proteins for EPS alone or in combination with FWT. These parameters could be incorporated in the follow-up of peritoneal dialysis (PD) patients. METHODS: A case-control study, nested in a longitudinal PD patient cohort, was conducted...
November 25, 2018: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://read.qxmd.com/read/30692237/peritoneal-dialysis-related-peritonitis-from-carbapenemase-producing-klebsiella-pneumoniae-with-oxa-48-type-gene
#14
Davin Ryanputra, Dingding Wang, Martin B Lee, Boon Wee Teo, Pei Loo Tok
We report a rare case of carbapenemase-producing enterobacte-riaceae peritonitis in a patient undergoing automated peritoneal dialysis (APD). The PD catheter had to be removed as the patient remained unwell despite antibiotics. Antimicrobial resistance in PD peritonitis is a concern in this era of multi-drug resistant bacteria.
January 2019: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://read.qxmd.com/read/30692236/laparoscopic-mesh-repair-of-bilateral-obturator-hernias-post-peritoneal-dialysis
#15
Jonathan Ramkumar, Daphne Lu, Tracy Scott
Abdominal wall hernias are prevalent in patients undergoing peritoneal dialysis (PD). Obturator hernias, first described by Arnaud de Ronsil in 1724, are an uncommon type of hernia where intra-abdominal contents protrude through the obturator foramen. The following case highlights a rare presentation of bilateral obturator hernias with right femoral and inguinal hernia in an 82-year-old woman post-PD. This patient presented with 5 months of bilateral thigh pain and swelling and was found to only have a right-sided obturator hernia on computer tomography (CT) scan...
January 2019: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://read.qxmd.com/read/30692235/-burkholderia-cepacia-an-outbreak-in-the-peritoneal-dialysis-unit
#16
Sarah Gleeson, Eoin Mulroy, Elizabeth Bryce, Sally Fox, Susan L Taylor, Hari Talreja
Burkholderia cepacia is a ubiquitous, opportunistic, environmental gram-negative bacillus which most commonly affects cystic fibrosis and immunocompromised patients. Rarely, it can cause peritoneal dialysis (PD) exit-site infection (ESI). Information relating to predisposing factors, clinical course, and treatment options for B. cepacia ESIs is limited. Although reports of B. cepacia healthcare-associated infections exist, outbreaks in PD units have not previously been reported. A recent outbreak of B. cepacia ESI in our PD unit provided a unique opportunity to study B...
January 2019: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://read.qxmd.com/read/30692234/increase-of-eosinophil-in-dialysate-during-induction-of-peritoneal-dialysis
#17
Emi Shigemoto, Masashi Mizuno, Yasuhiro Suzuki, Kazuma Kobayashi, Fumiko Sakata, Tetsuyoshi Kariya, Takayuki Katsuno, Shoichi Maruyama, Yasuhiko Ito
As a rare complication in patients on peritoneal dialysis (PD), increase of eosinophil (peritoneal dialysate fluid [PDF] eosinophilia), including eosinophilic peritonitis, was observed in PDF. The majority of eosinophilic peritonitis cases are detected during the early phase of PD induction. However, the frequency of and mechanisms underlying PDF eosinophilia remain unclear. We therefore investigated the frequency of PDF eosinophilia and what mechanisms, specifically complement activation, might contribute to its occurrence...
January 2019: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://read.qxmd.com/read/30692233/the-importance-of-context-to-interpretation-of-dialysis-access-patterns-insights-from-the-uk-renal-registry-data-set
#18
Barny Hole
No abstract text is available yet for this article.
January 2019: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://read.qxmd.com/read/30692232/transition-between-different-renal-replacement-modalities-gaps-in-knowledge-and-care-the-integrated-research-initiative
#19
REVIEW
Christopher Chan, Gill Combes, Simon Davies, Fred Finkelstein, Catherine Firanek, Rafael Gomez, Kitty J Jager, Vivek Jha George, David W Johnson, Mark Lambie, Magdalena Madero, Ikuto Masakane, Stephen McDonald, Madhukar Misra, Sandip Mitra, Thyago Moraes, Annie-Claire Nadeau-Fredette, Purna Mukhopadhyay, Jeff Perl, Ronald Pisoni, Bruce Robinson, Dong-Ryeol Ryu, Rajiv Saran, James Sloand, Nidhi Sukul, Allison Tong, Cheuk-Chun Szeto, Wim Van Biesen
Patients with end-stage kidney disease (ESKD) have different options to replace the function of their failing kidneys. The "integrated care" model considers treatment pathways rather than individual renal replacement therapy (RRT) techniques. In such a paradigm, the optimal strategy to plan and enact transitions between the different modalities is very relevant, but so far, only limited data on transitions have been published. Perspectives of patients, caregivers, and health professionals on the process of transitioning are even less well documented...
January 2019: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://read.qxmd.com/read/30692231/transition-the-process-of-changing-from-one-state-to-another
#20
EDITORIAL
Martin Wilkie
No abstract text is available yet for this article.
January 2019: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
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