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

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https://www.readbyqxmd.com/read/30087176/self-care-peritoneal-dialysis-patients-with-cognitive-impairment-have-a-higher-risk-of-peritonitis-in-the-second-year
#1
Yat Fung Shea, Mi Suen Connie Lee, Ming-Yee M Mok, Man Fai Lam, Leung Wing Chu, Felix Hon-Wai Chan, Tak-Mao Chan
INTRODUCTION: Cognitive impairment is common among patients on peritoneal dialysis (PD). We hypothesize that cognitive impairment has a negative impact on the outcome of patients on PD, especially with regard to peritonitis. METHODS: This was a single-center 2-year prospective cohort study involving 206 patients at 1 PD unit. Cognitive impairment was defined by the latest Hong Kong Montreal Cognitive Assessment Score (HK-MoCA) multiple cut-offs as determined by age and years of education...
August 7, 2018: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://www.readbyqxmd.com/read/30087175/hospital-volume-effects-on-perioperative-outcomes-in-peritoneal-dialysis-catheter-implantation-analysis-of-2-505-cases
#2
Yoshitaka Kinoshita, Toru Sugihara, Hideo Yasunaga, Hiroki Matsui, Akira Ishikawa, Tetsuya Fujimura, Hiroshi Fukuhara, Yoshitaka Ishibashi, Kiyohide Fushimi, Yukio Homma
BACKGROUND: Evidence regarding volume-outcome effects on peritoneal dialysis (PD) catheter implantation is limited. This study aimed to investigate associations between hospital volume (annual caseload of catheter implantation) and perioperative outcomes. METHODS: Clinical data for patients who underwent PD catheter implantation from 2007 to 2012 were extracted from the Japanese nationwide Diagnosis Procedure Combination database. Hospital volume was divided into tertiles: low-volume (1 - 6 cases/year), medium-volume (7 - 13 cases/year), and high-volume (≥ 14 cases/year)...
August 7, 2018: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://www.readbyqxmd.com/read/30065066/peritoneal-infections-in-children-undergoing-acute-peritoneal-dialysis-at-a-tertiary-quaternary-central-hospital-in-kwazulu-natal-south-africa
#3
Mulalo Nepfumbada, Elaene Naicker, Rajendra Bhimma
BACKGROUND: In a resource-limited setting, acute peritoneal dialysis (APD) is the modality of choice as a form of renal replacement therapy in children with acute kidney injury (AKI). However, there is a high risk of peritonitis that causes significant morbidity and mortality. Data on PD and peritonitis in developing countries are scarce. The purpose of this retrospective study was to determine the prevalence of APD-related peritonitis at a central referral hospital in KwaZulu-Natal, South Africa...
July 31, 2018: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://www.readbyqxmd.com/read/30065065/survival-and-kidney-transplant-incidence-on-home-versus-in-center-hemodialysis-following-peritoneal-dialysis-technique-failure
#4
Sheru K Kansal, Jose A Morfin, Eric D Weinhandl
BACKGROUND: Peritoneal dialysis (PD) technique failure is often accompanied by complications that increase risks of hospitalization and death. Planned transition to hemodialysis may improve outcomes. Transitioning patients from PD to home hemodialysis (HHD) may improve continuity of lifestyle and facilitate delivery of more frequent treatment. METHODS: We analyzed United States Renal Data System (USRDS) data to compare the incidence of death and kidney transplant in patients who transferred from PD to HHD and matched patients who transferred from PD to in-center HD (IHD)...
July 31, 2018: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://www.readbyqxmd.com/read/30065064/sarcopenia-and-frailty-in-pd-impact-on-mortality-malnutrition-and-inflammation
#5
Yuka Kamijo, Eiichiro Kanda, Yoshitaka Ishibashi, Masayuki Yoshida
BACKGROUND: It is known that sarcopenia is related to malnutrition-inflammation-atherosclerosis (MIA) syndrome and is an important problem in dialysis patients. The notion of frailty includes various physical, psychological, and social aspects. Although it has been reported that sarcopenia is associated with poor prognosis in patients with hemodialysis, reports on peritoneal dialysis (PD) patients are rare. In this study, we examined the morbidity and mortality of sarcopenia and frailty in PD patients...
July 31, 2018: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://www.readbyqxmd.com/read/29991562/stability-of-meropenem-and-piperacillin-tazobactam-with-heparin-in-various-peritoneal-dialysis-solutions
#6
Karryl Mendes, Harmanjeet Harmanjeet, Mohammed Sedeeq, Ankit Modi, Troy Wanandy, Syed Tabish R Zaidi, Long Ming, Ronald Castelino, Kamal Sud, Gregory Peterson, Rahul P Patel
BACKGROUND: Infections caused by ceftazidime-resistant Pseudomonas and extended-spectrum beta-lactamase (ESBL)-producing gram-negative bacteria are increasing worldwide. Meropenem and piperacillin/tazobactam (PIP/TZB) are recommended for the treatment of peritoneal dialysis-associated peritonitis (PDAP) caused by ceftazidime-resistant Pseudomonas and other resistant gram-negative bacteria. Patients may also receive intraperitoneal heparin to prevent occlusion of their catheters. However, the stability of meropenem or PIP/TZB, in combination with heparin, in different types of peritoneal dialysis (PD) solutions used in clinical practice is currently unknown...
July 10, 2018: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://www.readbyqxmd.com/read/29991561/surgical-treatment-for-encapsulating-peritoneal-sclerosis-24-years-experience
#7
Hideki Kawanishi, Masataka Banshodani, Masahiro Yamashita, Sadanori Shintaku
BACKGROUND: Encapsulating peritoneal sclerosis (EPS) is a serious complication of long-term peritoneal dialysis. The mortality rate for EPS is high, primarily due to complications related to bowel obstruction. Surgery was previously contraindicated; however, surgical enterolysis is performed for patients in whom bowel obstruction fails to improve. METHODS: This was a retrospective observational study of patients with EPS who received surgical intervention at a single center between November 1993 and October 2017...
July 10, 2018: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://www.readbyqxmd.com/read/29991560/a-longitudinal-study-on-the-prevalence-and-risk-factors-for-depression-and-anxiety-quality-of-life-and-clinical-outcomes-in-incident-peritoneal-dialysis-patients
#8
Maggie M Y Mok, Carmen K Liu, Man Fai Lam, Lorraine P Kwan, Gary C Chan, Maggie K M Ma, Desmond Y Yap, Frances Chiu, Cindy B Choy, Sydney C Tang, Tak Mao Chan
BACKGROUND: Starting dialysis is an important life event. The prevalence and evolution of psychological symptoms at commencement of long-term dialysis is unclear. We examined the prevalence of and risk factors for depression and anxiety, and the quality of life (QOL) of incident peritoneal dialysis (PD) patients, and also the change of these parameters in the first year of PD in relation to clinical outcomes under the PD-first policy. METHODS: All patients commencing long-term PD from March 2011 to April 2015 were asked to complete the Hospital Anxiety and Depression Scale (HADS), World Health Organization Quality of Life-BREF and the Kidney Disease Quality of Life Instrument Short Form questionnaire...
July 10, 2018: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://www.readbyqxmd.com/read/30185486/-candida-glabrata-pd-associated-peritonitis-a-case-report
#9
LETTER
S Emami, S Q Lew
No abstract text is available yet for this article.
September 2018: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://www.readbyqxmd.com/read/30185485/infected-thoracoabdominal-aneurysm-and-peritonitis-in-peritoneal-dialysis-patient
#10
LETTER
J A Hernández Vaquero, A Hernando Rubio, J I Cornago Delgado, M Galán Múgica, A Ysa Figueras, I Martínez Fernández
No abstract text is available yet for this article.
September 2018: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://www.readbyqxmd.com/read/30185484/a-plea-for-revitalizing-interest-in-pharmacodynamics-in-the-light-of-emerging-bacterial-resistance-and-its-prevention
#11
LETTER
C W H de Fijter
No abstract text is available yet for this article.
September 2018: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://www.readbyqxmd.com/read/30185483/characteristics-and-outcomes-of-exit-sites-of-buried-peritoneal-dialysis-catheters-a-cohort-study
#12
Vaibhav Keskar, Mohan Biyani, Brian Blew, Jeff Warren, Brendan B McCormick
Buried peritoneal dialysis (PD) catheters are placed months before dialysis is needed and the exit site is created when the catheter is dissected out at the initiation of dialysis. In contrast, the exit site of an unburied catheter is created by the surgeon at the time of insertion. We reviewed all patients who initiated PD at our center over a 2-year period. At each clinic visit, exit sites were subjectively classified into standard predefined groups. Outcomes of interest were the frequency of perfect exit sites at 2, 6, and 12 months and rate of exit-site infections (ESIs) at 90 days...
September 2018: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://www.readbyqxmd.com/read/30185482/estimating-dietary-protein-intake-in-peritoneal-dialysis-patients-the-effect-of-ethnicity
#13
Surachet Vongsanim, Andrew Davenport
Kidney dialysis patients with sarcopenia have increased mortality. Clinical guidelines recommend peritoneal dialysis (PD) patients have a target daily protein intake to prevent sarcopenia. Protein intake is estimated from total daily urea losses in urine and peritoneal dialysate to assess the protein equivalent of nitrogen appearance rate adjusted for body weight (nPNA). Dietary habits differ among ethnic groups, so we reviewed nPNA and body composition in a multi-ethnic PD population. Body composition was measured with multifrequency bioimpedance in 598 patients (301 white, 136 black, 123 South-Asian, and 38 Asian-Pacific)...
September 2018: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://www.readbyqxmd.com/read/30185481/systemic-endotoxin-in-peritoneal-dialysis-patients
#14
Ali M Shendi, Nathan Davies, Andrew Davenport
Previous reports linked systemic endotoxemia in dialysis patients to increased markers of inflammation, cardiovascular disease, and mortality. Many peritoneal dialysis (PD) patients use acidic, hypertonic dialysates, which could potentially increase gut permeability, resulting in systemic endotoxemia. However, the results from studies measuring endotoxin in PD patients are discordant. We therefore measured systemic endotoxin in 55 PD outpatients attending for routine assessment of peritoneal membrane function; mean age 58...
September 2018: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://www.readbyqxmd.com/read/30185480/successful-treatment-of-pd-peritonitis-due-to-brevundimonas-vesicularis
#15
Daniel Christiadi, Richard F Singer, Darren M Roberts
Brevundimonas vesicularis is a rare cause of peritoneal dialysis-associated peritonitis (PD peritonitis). One documented case report described poor outcome despite treatment with appropriate antibiotics. Here, we report the successful treatment of PD peritonitis due to Brevundimonas vesicularis with 21 days of intraperitoneal (IP) antibiotics using the regimen described for Pseudomonas aeruginosa , notably IP gentamicin (10 days) followed by IP cefepime and oral ciprofloxacin (11 days). Despite the favorable outcome, measurement of antibiotic concentrations in the PD effluent suggests that the cefepime and possibly ciprofloxacin regimens do not achieve key antibiotic concentration targets that are reported to maximize bacterial kill...
September 2018: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://www.readbyqxmd.com/read/30185479/case-study-applying-rapid-flow-cytometry-analysis-to-capd-effluent
#16
Kieran T Mulroney, Jarrad M Hall, Amanda L McGuire, Tim J J Inglis, Aron Chakera
Peritoneal dialysis (PD) peritonitis cases require rapid clinical interventions to ensure the best possible patient outcomes. Culture-dependent microbiology tools are slow and cannot provide clinicians with evidence to guide antimicrobial prescription practices in an appropriate time frame. Genotypic methods have met with limited success for analyzing continuous ambulatory PD effluent, with most centers still relying on culture-dependent microbiology. We present a case study in which we apply flow cytometry techniques to antibiotic-compromised effluent...
September 2018: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://www.readbyqxmd.com/read/30185478/sustained-increase-in-peritoneal-dialysis-prevalence-through-a-structured-pd-initiation-service
#17
Muhammad Masoom Javaid, Behram Ali Khan, Emily Xe Yeo, Boon Wee Teo, Srinivas Subramanian
A structured peritoneal dialysis (PD) initiation service provided by a dedicated team of nephrologists, interventionists, and PD nurses, taking patients through the stages of predialysis education and monitoring, dialysis catheter insertion, dialysis initiation, and follow-up in the immediate post-dialysis initiation period, can go a long way in expanding PD prevalence. The authors noticed a rapid expansion of their PD program following the introduction of such a service, and they share their experience in this article...
September 2018: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://www.readbyqxmd.com/read/30185477/early-peritoneal-dialysis-technique-failure-review
#18
REVIEW
Yeoungjee Cho, Emily J See, Htay Htay, Carmel M Hawley, David W Johnson
There is a growing, global burden of patients with end-stage kidney disease (ESKD) requiring renal replacement therapy. Although peritoneal dialysis (PD) is considered to be the most cost-effective dialysis modality, its utilization has been declining in some regions. The first year after starting PD is thought to be a vulnerable period for technique failure, which in turn contributes to poor patient retention. Improved understanding of the risk factors for technique failure during this period may help the development of targeted strategies to lower its incidence and improve both the utilization and utility of PD...
September 2018: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://www.readbyqxmd.com/read/30185476/starting-dialysis-planning-for-the-unpredictable-and-the-search-for-meaningful-process-measures
#19
EDITORIAL
Martin Wilkie
No abstract text is available yet for this article.
September 2018: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://www.readbyqxmd.com/read/30087174/associations-between-peritoneal-glucose-exposure-glucose-degradation-product-exposure-and-peritoneal-membrane-transport-characteristics-in-peritoneal-dialysis-patients-secondary-analysis-of-the-bal-anz-trial
#20
Melissa S Nataatmadja, David W Johnson, Elaine M Pascoe, Darsy Darssan, Carmel M Hawley, Yeoungjee Cho
BACKGROUND: Glucose is the most commonly used osmotic medium in peritoneal dialysis (PD) solutions, and its use has been associated with both local and systemic adverse effects. Previous, single-center, observational cohort studies have reported conflicting findings regarding whether a relationship exists between peritoneal glucose exposure and peritoneal small solute transport rate. METHODS: In this secondary analysis of the bal ANZ multicenter, multinational, randomized controlled trial of a neutral pH, ultra-low glucose degradation product (biocompatible) versus conventional PD solutions over a 2-year period, the relationship between time varying peritoneal glucose exposure and change in peritoneal solute transport rate, (measured as dialysate to plasma creatinine ratio at 4 hours [D:PCr4h ]), was evaluated using multivariable, multilevel linear regression...
September 2018: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
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