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

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https://www.readbyqxmd.com/read/30315045/brucella-peritonitis-in-a-patient-on-peritoneal-dialysis-case-report-and-literature-review
#1
Qingyu Niu, Huiping Zhao, Meifang Chen, Bei Wu, Peng Wang, Lixia Lu, Mark Marshall, Li Zuo, Mei Wang
Peritonitis is the most common complication in patients undergoing peritoneal dialysis (PD). Peritoneal dialysis-related peritonitis caused by Brucella species has been reported in only 7 patients before. Here, we report a further case of Brucella peritonitis. This patient was successfully treated with both intraperitoneal and prolonged oral antibiotics, without removal of the PD catheter. We review relevant literature and make recommendations for the diagnosis and treatment of Brucella PD-related peritonitis from the cumulative published clinical experience...
October 12, 2018: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://www.readbyqxmd.com/read/30315044/acute-peritoneal-dialysis-system-for-neonates-with-acute-kidney-injury-requiring-renal-replacement-therapy-a-case-series
#2
Xiang Ao, Yong Zhong, Xiaohe Yu, Mark Marshall, Tao Feng, Jianping Ning, Qiaoling Zhou
BACKGROUND: Acute kidney injury (AKI) is common in critically ill neonates, and peritoneal dialysis (PD) can be a lifesaving option. In China, however, much of the equipment for PD in neonates is not available. We describe results with a novel system for PD, which has been developed locally to improve access to therapy and care for critically ill neonates requiring PD in China. METHODS: The system comprises a 14-gauge single-lumen central venous catheter serving as a PD catheter, inserted by Seldinger technique, with an adapted twin bag PD system...
October 12, 2018: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://www.readbyqxmd.com/read/30315043/what-pd-research-in-china-tells-us
#3
Qiang Yao, Jie Dong, Tao Feng, Bengt Lindholm
Peritoneal dialysis (PD) was introduced in China later than in most Western countries, and PD research activity was quite limited until the 1990s. However, in the 2000s, and even more so during the last decade, there has been an unsurpassed increase in the number of PD patients, paralleled by a substantial increase in PD research activity reflected by an increasing number of PD papers from China. In this brief review, we describe some of the factors that may explain the dramatic developments in PD research in mainland China, such as the focus on basic research using scientific approaches that subsequently could be applied also in clinical studies...
October 12, 2018: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://www.readbyqxmd.com/read/30315042/the-effect-of-automated-versus-continuous-ambulatory-peritoneal-dialysis-on-mortality-risk-in-china
#4
Xuemei Li, Hong Xu, Nan Chen, Zhaohui Ni, Meng-Hua Chen, Limeng Chen, Jie Dong, Wei Fang, Yusheng Yu, Xiao Yang, Jiang-Hua Chen, Xue-Qing Yu, Qiang Yao, James A Sloand, Mark Marshall
BACKGROUND: There is an emerging practice pattern of automated peritoneal dialysis (APD) in China. We report on outcomes compared to continuous ambulatory peritoneal dialysis (CAPD) in a Chinese cohort. METHODS: Data were sourced from the Baxter Healthcare (China) Investment Co. Ltd Patient Support Program database, comprising an inception cohort commencing PD between 1 January 2005 and 13 August 2015. We used time-dependent cause-specific Cox proportional hazards and Fine-Gray competing risks (kidney transplantation, change to hemodialysis) models to estimate relative mortality risk between APD and CAPD...
October 12, 2018: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://www.readbyqxmd.com/read/30315041/center-specific-risk-adjusted-standardized-mortality-rates-on-continuous-ambulatory-peritoneal-dialysis-in-china
#5
Xue-Qing Yu, Meng-Hua Chen, Jie Dong, Hong Liu, Zhang-Suo Liu, Qiang Yao, James A Sloand, Mark Marshall
BACKGROUND: The aim of this study was to determine if there were centers in China with unusually high levels of risk-adjusted mortality in continuous ambulatory peritoneal dialysis (CAPD) patients. METHODS: We analyzed an inception cohort commencing CAPD between 1 January 2005 and 13 August 2015, followed until death, dropout defined as discontinuation of Baxter products, loss to follow-up, or 13 November 2015, whichever occurred first. We calculated standardized mortality ratios (SMRs) from Cox proportional hazards models, adjusting for age, gender, employment status, insurance status, primary renal disease, size of peritoneal dialysis (PD) program, and year of dialysis inception...
October 12, 2018: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://www.readbyqxmd.com/read/30315040/number-of-daily-peritoneal-dialysis-exchanges-and-mortality-risk-in-a-chinese-population
#6
Xue-Qing Yu, Jiang-Hua Chen, Zhaohui Ni, Nan Chen, Meng-Hua Chen, Jie Dong, Limeng Chen, Yusheng Yu, Xiao Yang, Wei Fang, Qiang Yao, James A Sloand, Mark Marshall
BACKGROUND: We report outcomes on ≥ 4 compared with < 4 exchanges/day in a Chinese cohort on continuous ambulatory peritoneal dialysis (CAPD). METHODS: Data were sourced from the Baxter (China) Investment Co. Ltd Patient Support Program database, comprising an inception cohort commencing CAPD between 1 January 2005 and 13 August 2015. We used cause-specific Cox proportional hazards and Fine-Gray competing risks (kidney transplantation, change to hemodialysis) models to estimate mortality risk on ≥ 4 compared with < 4 exchanges/day...
October 12, 2018: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://www.readbyqxmd.com/read/30257998/transition-period-clinical-trajectories-for-pd-versus-hd-starters
#7
Dugan W Maddux, Len A Usvyat, Thomas Blanchard, Yue Jiao, Peter Kotanko, Frank M van der Sande, Jeroen P Kooman, Franklin W Maddux
BACKGROUND: Peritoneal dialysis (PD) starters generally have a better outcome compared with hemodialysis (HD) starters, perhaps related to treatment characteristics or case mix. We previously showed that pre- and post-dialysis start clinical parameter trajectories are related to outcomes. The aim of this study was to investigate these trajectories in PD and HD starters. METHODS: This retrospective observational study analyzing data from the Fresenius Medical Care-chronic kidney disease (CKD) Registry from January 2009 to March 2018 examines trends in key clinical parameters through the transition period covering 12 months before to 12 months after dialysis start in 8,088 HD and 1,015 PD starters...
September 25, 2018: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://www.readbyqxmd.com/read/30257997/comparison-of-clinical-presentation-and-outcomes-of-peritonitis-in-the-elderly-and-younger-peritoneal-dialysis-patients
#8
Htay Htay, Jun Jie B Seng, Mei Hui A Yong, Suh Chien Pang, Sin Yan Wu, Choong M Chan, Mui Hian Sim, David W Johnson, Marjorie Wai Yin Foo
BACKGROUND: The incidence of elderly patients receiving peritoneal dialysis (PD) has increased. This study aimed to examine the clinical presentation and outcomes of peritonitis in elderly PD patients compared with younger PD patients. METHODS: This single-center, retrospective, observational cohort study included all adult PD patients who developed peritonitis between January 2011 and December 2014. Elderly was defined as ≥ 65 years old at PD initiation. The primary outcome was medical cure, defined as a peritonitis episode cured by antibiotics without being complicated by catheter removal, transfer to hemodialysis (HD), relapsing peritonitis,or death...
September 25, 2018: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://www.readbyqxmd.com/read/30257996/risk-factors-and-prevention-of-peritoneal-dialysis-related-peritonitis
#9
Liliana Gadola, Carla Poggi, Patricia Dominguez, María V Poggio, Eliana Lungo, Claudia Cardozo
BACKGROUND: Peritonitis is a major complication and the main cause of peritoneal dialysis (PD) failure. The aim of the present study was to evaluate peritonitis risk factors and its prevention with a new peritoneal educational program (NPEP). METHODS: We performed a retrospective analysis of a cohort of chronic PD patients, older than 16 years, who began PD in the period 1 January 1999 to 31 December 2015 at a Uruguayan PD center, with follow-up until 31 December 2016...
September 25, 2018: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://www.readbyqxmd.com/read/30257995/incidence-etiology-and-outcomes-of-community-acquired-acute-kidney-injury-in-pediatric-admissions-in-malawi
#10
Rhys D Evans, Marie Docherty, Anna Seeley, Alison Craik, Martha Mpunga, Shawna Mann, Queen Dube, Gavin Dreyer, Ulla Hemmila
INTRODUCTION: The epidemiology of acute kidney injury (AKI) in children in sub-Sahara Africa (SSA) is poorly described. The aim of this study was to establish the incidence, etiology, and outcomes of community-acquired AKI in pediatric admissions in Southern Malawi. METHODS: We conducted a prospective observational study of pediatric admissions to a tertiary hospital in Blantyre between 5 February and 30 April 2016. Children were screened for kidney disease on admission with measurement of serum creatinine and assessment of urine output...
September 25, 2018: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://www.readbyqxmd.com/read/30257994/the-effect-of-peritoneal-dialysis-on-labor-market-outcomes-compared-with-institutional-hemodialysis
#11
Zartashia Ghani, Helena Rydell, Johan Jarl
BACKGROUND: The aim of this study is to compare the impact of peritoneal dialysis (PD) and institutional hemodialysis (IHD), the 2 most common dialysis modalities, on employment, work income, and disability pension in Sweden. METHODS: Included in this study were 4,734 patients in IHD and PD, aged 20 - 60 years, starting treatment in Sweden during 1995 - 2012, and surviving the first year of dialysis therapy. Both "intention to treat" and "on treatment" analyses were performed by including transplant patients into the former and censoring them at the date of transplant in the latter analysis...
September 25, 2018: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://www.readbyqxmd.com/read/30413643/sustained-increase-in-peritoneal-dialysis-prevalence-through-a-structured-pd-initiation-service
#12
(no author information available yet)
No abstract text is available yet for this article.
November 2018: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://www.readbyqxmd.com/read/30413642/more-on-suprapubic-catheters-and-peritoneal-dialysis
#13
LETTER
M Windpessl, A Teufel, G Tiefenthaller, F C Prischl
No abstract text is available yet for this article.
November 2018: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://www.readbyqxmd.com/read/30413641/pharmacokinetics-of-300-mg-d-intraperitoneal-daptomycin-new-insight-from-the-daptodp-study
#14
Laure Peyro Saint Paul, Maxence Ficheux, Danièle Debruyne, Magalie Loilier, Nicolas Bouvier, Rémy Morello, Renaud Verdon, Elsa Le Blanc, Vincent Cattoir, Thierry Lobbedez
The DaptoDP (NCT 2012-005699-33) study aimed to evaluate the pharmacokinetic parameters of daptomycin (DAP) in peritoneal dialysis-related peritonitis (PDRP) patients following intraperitoneal (IP) administration. The authors have already reported the findings on the 200-mg dosing and present here the follow-up results of the 300-mg dosing. The primary endpoint was a dialysate concentration of DAP above the effective concentration in situ during 6 hours of dwell time i.e., 16 mg/L. Secondary endpoints were to avoid the toxic threshold of 120 mg/L DAP and to be above 16 mg/L DAP for 2 hours in plasma...
November 2018: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://www.readbyqxmd.com/read/30413640/exit-site-infection-a-comparison-of-classification-systems
#15
B Sangeetha, N Deepa, M Hemalatha, C M Latha, R Ram, V Siva Kumar
In general, in peritoneal dialysis (PD) practice in hospitals, Twardowski and Prowant's exit-site classification system is used, while the International Society for Peritoneal Dialysis (ISPD) exit-site scoring system is practical to use in community visits with less experienced healthcare personnel. Nevertheless, when exit-site scoring is 3 points under the ISPD exit-site score system and it falls in the category of equivocal under the Twardowski and Prowant's exit-site classification, the physician should be vigilant about the possibility of developing peritonitis, and hence, patients need to be kept under periodic monitoring...
November 2018: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://www.readbyqxmd.com/read/30413639/gastric-electrical-stimulation-improves-symptoms-of-diabetic-gastroparesis-in-patients-on-peritoneal-dialysis-2-case-reports
#16
Sanja Klobučar Majanović, Marko Zelić, Andrej Belančić, Vanja Licul, Božidar Vujičić, Neva Girotto, Davor Štimac
Diabetic gastroparesis (DGP), a delay in gastric emptying without obstruction to outflow as a complication of diabetes, typically develops after at least 10 years of diabetes. Cardinal symptoms include nausea, vomiting, early satiety, bloating, and upper abdominal pain. The aim of DGP treatment is to alleviate the severity and frequency of symptoms, improve the level of gastric emptying, ameliorate the patient's nutritional status and to optimize glycemic control. In the treatment of chronic drug-refractory nausea and vomiting secondary to DGP, gastric electrical stimulation (GES) such as Enterra Therapy System (Medtronic Inc...
November 2018: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://www.readbyqxmd.com/read/30413638/changing-dialysis-modality-during-pregnancy-a-case-report
#17
James Shaw, Christina Katopodis, Michelle A Hladunewich, Krista Ryz
Pregnancy in patients with end-stage renal disease is rare, with a paucity of management guidelines in the literature. Various hemodialysis (HD) and peritoneal dialysis (PD) protocols have been used to successfully manage pregnancy in this population; however, there is a growing body of evidence that the best maternal and fetal outcomes are associated with intensified, high-dose HD. The optimal timing of transition from PD to HD is not known for prevalent PD patients who become pregnant. We report the case of a 32-year-old aboriginal female who became pregnant while being treated with chronic PD...
November 2018: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://www.readbyqxmd.com/read/30413637/hemoperitoneum-in-a-peritoneal-dialysis-patient-ruptured-ectopic-pregnancy
#18
Orly F Kohn, Sandra Culbertson, Yolanda T Becker
Hemoperitoneum is a well-recognized complication in female peritoneal dialysis (PD) patients of childbearing age. Bloody effluent is commonly of minor nature, presenting during menstruation or midcycle, resolving after a few rapid exchanges without a need for further intervention. One must remain vigilant, however, and consider a broader differential diagnosis when hemoperitoneum is persistent or severe, as it indicates a serious and potentially life-threatening etiology. We report 2 episodes of hemoperitoneum in a PD patient occurring more than 1...
November 2018: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://www.readbyqxmd.com/read/30413636/challenges-facing-children-on-chronic-peritoneal-dialysis-in-south-africa
#19
Cecil Steven Levy, Abdullahi Mudi, Bonnie Venter, Jennifer Geel
No abstract text is available yet for this article.
November 2018: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://www.readbyqxmd.com/read/30413635/peritoneal-dialysis-for-patients-with-end-stage-renal-disease-and-liver-cirrhosis
#20
REVIEW
Sana Khan, Mitchell H Rosner
End-stage renal disease patients with cirrhosis represent a therapeutic dilemma, with several difficulties associated with hemodialysis as a renal replacement therapy modality. Peritoneal dialysis is a feasible option for these patients, despite the confounders of associated infection risk, malnutrition, ascites management, and mechanical complications. This review covers the existing data on the outcomes and complications associated with the use of peritoneal dialysis in the cirrhotic patient.
November 2018: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
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