Collections Peritonitis prevention

Peritonitis prevention

Reducing peritonitis is a key strategy in maintaining a home dialysis program
Luca Nardelli, Antonio Scalamogna, Piergiorgio Messa
BACKGROUND: Peritoneal dialysis (PD) related infections continue to be a major cause of morbidity and mortality in patients on PD. In the last ten years, in order to reduce cuff and exit-site infections, in continuous ambulatory peritoneal dialysis (CAPD) patients, we have positioned the superficial cuff subcutaneously 4 cm instead of 2 cm internal to the exit-site. METHODS: We analysed the infective episodes occurred in 123 CAPD patients (88 men and 35 women, mean age 62...
April 2021: Journal of Nephrology
Jeffrey Perl, Douglas S Fuller, Brian A Bieber, Neil Boudville, Talerngsak Kanjanabuch, Yasuhiko Ito, Sharon J Nessim, Beth M Piraino, Ronald L Pisoni, Bruce M Robinson, Douglas E Schaubel, Martin J Schreiber, Isaac Teitelbaum, Graham Woodrow, Junhui Zhao, David W Johnson
RATIONALE & OBJECTIVE: Peritoneal dialysis (PD)-related peritonitis carries high morbidity for PD patients. Understanding the characteristics and risk factors for peritonitis can guide regional development of prevention strategies. We describe peritonitis rates and the associations of selected facility practices with peritonitis risk among countries participating in the Peritoneal Dialysis Outcomes and Practice Patterns Study (PDOPPS). STUDY DESIGN: Observational prospective cohort study...
July 2020: American Journal of Kidney Diseases
Sarah J Swartz, Alicia Neu, Amy Skversky Mason, Troy Richardson, Jonathan Rodean, John Lawlor, Bradley Warady, Michael J G Somers
BACKGROUND: The Standardizing Care to Improve Outcomes in Pediatric End Stage Renal Disease (SCOPE) Collaborative is a quality improvement initiative to reduce dialysis-associated infections. The frequency of peritoneal dialysis (PD) catheter exit site infection (ESI) and variables influencing its development and end result are unclear. We sought to determine ESI rates, to elucidate the epidemiology, risk factors, and outcomes for ESI, and to assess for association between provider compliance with care bundles and ESI risk...
June 2018: Pediatric Nephrology
Hsi-Hao Wang, Shih-Yuan Hung, Min-Yu Chang, Yi-Che Lee, Hsiu-Fang Lin, Tsun-Mei Lin, Su-Pen Yang, Hsi-Hsun Lin, Su-Ching Yang, Jiun-Ling Wang
UNLABELLED: Bacterial colonization patterns in daily chlorhexidine care at the exit site in peritoneal dialysis (PD) patients were not known. We performed a prospective, randomized controlled trial enrolling 89 PD patients. After stratification by initial Staphylococcus aureus (SA) carrier status, patients were randomly assigned to receive daily 4% chlorhexidine care (intervention group) or normal saline (control group) at the exit site. Monthly, we cultured bacteria from the exit site and nasal swabs for 1 year...
2017: PloS One
Htay Htay, David W Johnson, Sin Yan Wu, Elizabeth Ley Oei, Marjorie Wai Yin Foo, Jason Chon Jun Choo
♦ OBJECTIVE: Prevention of exit-site infection (ESI) is of paramount importance to peritoneal dialysis (PD) patients. The aim of this study was to evaluate the effectiveness of chlorhexidine in the prevention of ESI in incident PD patients compared with mupirocin. ♦ METHODS: This retrospective, pre-test/post-test observational study included all incident PD patients at Singapore General Hospital from 2012 to 2015. Patients received daily topical exit-site application of either mupirocin (2012 - 2013) or chlorhexidine (2014 - 2015) in addition to routine exit-site cleaning with 10% povidone-iodine...
2017: Peritoneal Dialysis International
Chia-Chi Tsai, Po-Sheng Yang, Chien-Liang Liu, Chih-Jen Wu, Yi-Chiung Hsu, Shih-Ping Cheng
BACKGROUND: Topical antibiotics have been shown to reduce exit-site infection and peritonitis. The aim of this study was to compare infection rates between mupirocin and gentamicin. METHODS: Multiple comprehensive databases were searched systematically to include relevant randomized controlled trials and observational studies. Pooled risk ratios (RRs) and 95% confidence intervals were calculated for the incidences of exit-site infection and peritonitis. RESULTS: Seven studies (mupirocin group n = 458, gentamicin group n = 448) were analyzed for exit-site infection...
January 2018: American Journal of Surgery
Cheuk-Chun Szeto, Philip Kam-Tao Li, David W Johnson, Judith Bernardini, Jie Dong, Ana E Figueiredo, Yasuhiko Ito, Rumeyza Kazancioglu, Thyago Moraes, Sadie Van Esch, Edwina A Brown
No abstract text is available yet for this article.
2017: Peritoneal Dialysis International
Antoine Lanot, Thierry Lobbedez, Clémence Bechade, Christian Verger, Emmanuel Fabre, Max Dratwa, Isabelle Vernier
BACKGROUND: International guidelines recommend the use of a prophylactic antibiotic before the peritoneal dialysis (PD) catheter can be inserted. The main objective of this study was to assess whether this practice is associated with a lower risk of early peritonitis and to estimate the magnitude of the centre effect. METHODS: A retrospective, multi-centric study was conducted, in which data from the French Language Peritoneal Dialysis Registry was analysed. Patients were separated into 2 groups based on whether or not prophylactic antibiotics were used prior to catheter placement...
2016: American Journal of Nephrology
Melissa Nataatmadja, Yeoungjee Cho, David W Johnson
No abstract text is available yet for this article.
September 10, 2016: Peritoneal Dialysis International
Philip Kam-Tao Li, Cheuk Chun Szeto, Beth Piraino, Javier de Arteaga, Stanley Fan, Ana E Figueiredo, Douglas N Fish, Eric Goffin, Yong-Lim Kim, William Salzer, Dirk G Struijk, Isaac Teitelbaum, David W Johnson
No abstract text is available yet for this article.
September 10, 2016: Peritoneal Dialysis International
Christine B Sethna, Kristina Bryant, Raj Munshi, Bradley A Warady, Troy Richardson, John Lawlor, Jason G Newland, Alicia Neu
BACKGROUND AND OBJECTIVES: The Standardizing Care to Improve Outcomes in Pediatric ESRD Collaborative is a quality improvement initiative that aims to reduce peritoneal dialysis-associated infections in pediatric patients on chronic peritoneal dialysis. Our objectives were to determine whether provider compliance with peritoneal dialysis catheter care bundles was associated with lower risk for infection at the individual patient level and describe the epidemiology, risk factors, and outcomes for peritonitis in the Standardizing Care to Improve Outcomes in Pediatric ESRD Collaborative...
September 7, 2016: Clinical Journal of the American Society of Nephrology: CJASN
Ping-Nam Wong, Gensy M W Tong, Yuk-Yi Wong, Kin-Yee Lo, Shuk-Fan Chan, Man-Wai Lo, Kwok-Chi Lo, Lo-Yi Ho, Cindy W S Tse, Siu-Ka Mak, Andrew K M Wong
UNLABELLED:BACKGROUND AND OBJECTIVES: Catheter-related infection, namely exit-site infection (ESI) and peritonitis, is a major infectious complication and remains a main cause of technique failure for patients receiving peritoneal dialysis (PD). Topical application of antibiotic cream might reduce catheter-related infection but emergence of resistant or opportunistic organisms could be a concern. Optimal topical agents and regimens remain to be determined...
2016: Peritoneal Dialysis International
Lei Zhang, Carmel M Hawley, David W Johnson
Patient training has widely been considered to be one of the most critical factors for achieving optimal peritoneal dialysis clinical outcomes, including avoidance of peritonitis. However, research in this important area has been remarkably scant to date. This article will critically review the clinical evidence underpinning PD patient training and will specifically focus on four key areas: who should provide training and how, when and where should it be performed to obtain the best results. Evidence gaps and future research directions will also be discussed...
February 2016: Nephrology, Dialysis, Transplantation
Catherine Firanek, Edward Szpara, Patricia Polanco, Ira Davis, James Sloand
Peritonitis is a significant complication of peritoneal dialysis (PD), contributing to mortality and technique failure. Suboptimal disinfection and/or a loose connection at the catheter adapter-transfer set junction are forms of touch contamination that can compromise the integrity of the sterile fluid path and lead to peritonitis. Proper use of the right disinfectants for connections at the PD catheter adapter-transfer set interface can help eliminate bacteria at surface interfaces, secure connections, and prevent bacteria from entering into the sterile fluid pathway...
2016: Peritoneal Dialysis International
Martin Wilkie
No abstract text is available yet for this article.
January 2016: Peritoneal Dialysis International
Masahiro Eriguchi, Kazuhiko Tsuruya, Hisako Yoshida, Naoki Haruyama, Shigeru Tanaka, Akihiro Tsuchimoto, Kiichiro Fujisaki, Kumiko Torisu, Kosuke Masutani, Takanari Kitazono
Extended catheters with an upper abdominal exit-site (UAE) are reportedly associated with a lower incidence of peritoneal dialysis (PD)-related infections. However, little information about the optimal peritoneal catheter configuration for UAE is available. In this nonrandomized multicenter trial, 147 consecutive cases of a UAE involving either a conventional straight (CS; 80 cases) or extended swan-neck catheter (SN; 67 cases) were analyzed to compare exit-site and tunnel infections (ESTI), peritonitis, and catheter survival...
April 2016: Therapeutic Apheresis and Dialysis
Annie-Claire Nadeau-Fredette, David W Johnson, Carmel M Hawley, Elaine M Pascoe, Yeoungjee Cho, Philip A Clayton, Monique Borlace, Sunil V Badve, Kamal Sud, Neil Boudville, Stephen P McDonald
UNLABELLED:BACKGROUND: Previous studies have reported significant variation in peritonitis rates across dialysis centers. Limited evidence is available to explain this variability. The aim of this study was to assess center-level predictors of peritonitis and their relationship with peritonitis rate variations. ♦ METHODS: All incident peritoneal dialysis (PD) patients treated in Australia between October 2003 and December 2013 were included...
September 2016: Peritoneal Dialysis International
Shan Shan Chen, Heena Sheth, Beth Piraino, Filitsa Bender
UNLABELLED:BACKGROUND: Daily gentamicin cream exit-site prophylaxis reduces peritoneal dialysis (PD)-related gram-negative infections. However, there is a concern about the potential for increasing gentamicin resistance with the long-term use of prophylactic gentamicin. This study evaluated the incidence of gentamicin-resistant PD-related infections over more than 2 decades. ♦ METHODS: Study data on prevalent PD patients were retrieved from a prospectively maintained institutional review board (IRB)-approved PD registry at a single center from January 1, 1991, to December 31, 2000, and January 1, 2004, to December 31, 2013...
2016: Peritoneal Dialysis International
Amy L Gould, Elie Chahla, Christine Hachem
Patients on peritoneal dialysis (PD) are at increased risk for peritonitis. We report a case of a patient with end-stage renal disease on continuous ambulatory PD (CAPD) who developed peritonitis within 24 h of upper endoscopy with biopsy and colonoscopy with polypectomy. He had a previous history of peritonitis unrelated to invasive procedures and eventually was transitioned to hemodialysis because of his recurrent peritonitis. The International Society for Peritoneal Dialysis (ISPD) and newly revised American Society for Gastrointestinal Endoscopy (ASGE) guidelines recommend prophylactic antibiotics for CAPD patients undergoing endoscopic procedures...
2015: Case Reports in Gastroenterology
Lily Mushahar, Lim Wei Mei, Wan Shaariah Yusuf, Sudhaharan Sivathasan, Norilah Kamaruddin, Nor Juliana Mohd Idzham
UNLABELLED:OBJECTIVE: Peritoneal dialysis (PD)-related infection is a common cause of catheter loss and the main reason for PD drop-out. Exit-site infection (ESI) is a pathway to developing tunnel infection and peritonitis, hence rigorous exit-site care has always been emphasized in PD therapy. The aim of this study was to evaluate the effect of exit-site dressing vs non-dressing on the rate of PD-related infection. ♦ METHODS: A prospective randomized controlled study was conducted in prevalent PD patients at the Hospital Tuanku Jaafar Seremban, Negeri Sembilan, Malaysia, from April 2011 until April 2013...
2016: Peritoneal Dialysis International
2015-09-24 13:42:15
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