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Peritonitis prevention

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53 papers 1000+ followers Reducing peritonitis is a key strategy in maintaining a home dialysis program | ISPD Vancouver 2018
By Daniel Schwartz Passionate about knowledge translation
Melissa Nataatmadja, Yeoungjee Cho, David W Johnson
No abstract text is available yet for this article.
September 2016: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
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 2016: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
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. We did a study to examine the effect of an alternating topical antibiotic regimen in preventing catheter-related infection...
May 2016: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
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...
March 2016: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
Martin Wilkie
No abstract text is available yet for this article.
January 2016: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
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: Journal of the International Society for Peritoneal Dialysis
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...
July 2016: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
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...
September 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...
March 2016: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
Lei Zhang, Sunil V Badve, Elaine M Pascoe, Elaine Beller, Alan Cass, Carolyn Clark, Janak de Zoysa, Nicole M Isbel, Steven McTaggart, Alicia T Morrish, E Geoffrey Playford, Anish Scaria, Paul Snelling, Liza A Vergara, Carmel M Hawley, David W Johnson
UNLABELLED:BACKGROUND: The HONEYPOT study recently reported that daily exit-site application of antibacterial honey was not superior to nasal mupirocin prophylaxis for preventing overall peritoneal dialysis (PD)-related infection. This paper reports a secondary outcome analysis of the HONEYPOT study with respect to exit-site infection (ESI) and peritonitis microbiology, infectious hospitalization and technique failure. ♦ METHODS: A total of 371 PD patients were randomized to daily exit-site application of antibacterial honey plus usual exit-site care (N = 186) or intranasal mupirocin prophylaxis (in nasal Staphylococcus aureus carriers only) plus usual exit-site care (control, N = 185)...
December 2015: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
Desirée López-González, Juan Garduño, Alfonso Reyes-López, Armando Partida-Gaytán, Mara Medeiros
BACKGROUND: Peritoneal dialysis is the most frequent dialysis method in children, and peritonitis is a frequent complication. The responsible organisms differ between nosocomial and community acquired peritonitis, they cause longer hospitalization time, and can lead to dialysis failure. OBJECTIVE: The aim of the study was to describe the risk factors associated with nosocomial peritonitis in children with end-stage renal disease undergoing dialysis treatment. METHODS: A nested case-control study was conducted in an academic medical center...
May 2015: Revista de Investigación Clínica; Organo del Hospital de Enfermedades de la Nutrición
Na Jiang, Zhen Zhang, Wei Fang, Jiaqi Qian, Shan Mou, Zhaohui Ni
AIM: We investigated the association of peritoneal glucose exposure and dialysis exchange number with peritonitis outcome in patients undergoing continuous ambulatory peritoneal dialysis (CAPD). METHODS: The first episodes of bacterial peritonitis were retrospectively analyzed in 187 CAPD patients. Peritoneal glucose exposure was calculated based on PD prescription at the onset of peritonitis. RESULTS: Patients with peritoneal glucose exposure ≤140 g/day showed a higher and complete cure rate of peritonitis (66 vs...
2015: Blood Purification
Denise J Campbell, Fiona G Brown, Jonathan C Craig, Martin P Gallagher, David W Johnson, Geoffrey S Kirkland, Subramanian K Kumar, Wai H Lim, Dwarakanathan Ranganathan, Walaa Saweirs, Kamal Sud, Nigel D Toussaint, Rowan G Walker, Lesley A Williams, Maha Yehia, David W Mudge
BACKGROUND: Existing Australasian and international guidelines outline antibiotic and antifungal measures to prevent the development of treatment-related infection in peritoneal dialysis (PD) patients. Practice patterns and rates of PD-related infection vary widely across renal units in Australia and New Zealand and are known to vary significantly from guideline recommendations, resulting in PD technique survival rates that are lower than those achieved in many other countries. The aim of this study was to determine if there is an association between current practice and PD-related infection outcomes and to identify the barriers and enablers to good clinical practice...
April 2016: Nephrology, Dialysis, Transplantation
Douglas P Slakey, Ingemar Davidson
Peritoneal dialysis (PD) is effective and safe when patients and caregivers understand the best practices. Health care teams responsible for PD must act in a coordinated and consistent manner to ensure the most effective outcomes. This chapter will review the evidence for PD and discuss the safety implications of the phases of PD from patient selection to education to maintenance.
2015: Contributions to Nephrology
Junaid Iqbal, Maria Raja, Janson Leung
Intravesical Bacillus Calmette-Guérin (BCG) is an established treatment for high-risk superficial bladder cancer [Morales A, Eidinger D, Bruce AW. Intracavitary Bacillus Calmette-Guérin in the treatment of superficial bladder tumors.1976. J Urol 2002; 167: 891-893, Lamm DL, van der Meijden APM, Morales A et al. Incidence and treatment of complications of Bacillus Calmette-Guérin intravesical therapy in superficial bladder cancer. J Urol 1992; 147: 596-600]. We describe a patient receiving peritoneal dialysis (PD), who developed peritoneal tuberculosis following treatment of bladder cancer with intravesical BCG instillations...
February 2015: Clinical Kidney Journal
Arzu Velioglu, Ebru Asicioglu, Elif Ari, Hakki Arikan, Serhan Tuglular, Cetin Ozener
BACKGROUND: Peritonitis is one of the causes of early peritoneal dialysis (PD) failure in newly-placed catheters. Antibiotic prophylaxis has been recommended to decrease the risk of infection after PD catheter placement. In this study, we compared the efficacy of parenteral versus oral prophylactic cefuroxime axetil for preventing peritonitis after placed PD catheters. METHODS: In total, 67 patients (F/M: 32/35; mean age: 46.6±13.2 years) undergoing 70 percutaneous PD catheter placement procedures were included (in three patients, placement was repeated)...
February 2016: Minerva Urologica e Nefrologica, the Italian Journal of Urology and Nephrology
Clara Santos, Miguel Pérez-Fontán, Ana Rodríguez-Carmona, María Calvo-Rodríguez, Andrés López-Muñiz, Beatriz López-Calviño, Teresa García-Falcón
UNLABELLED:BACKGROUND: Peritoneal catheter tunnel and exit-site infection (TESI) complicates the clinical course of peritoneal dialysis (PD) patients. Adherence to recommendations for catheter insertion, exit-site care, and management of Staphylococcus aureus (SAu) carriage reduces, but does not abrogate the risk of these infections. ♦ OBJECTIVE: To reappraise the risk profile for TESI in an experienced center with a long-term focus on management of SAu carriage and a low incidence of these infections...
January 2016: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
2014-10-19 02:36:24
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