Peritonitis and catheter exit-site infection in patients on peritoneal dialysis at home

Abud, Ana Cristina Freire; Kusumota, Luciana; Santos, Manoel Antônio dos; Rodrigues, Fernando; Damasceno, Marta María Coelho; Zanetti, María Lúcia

doi:10.1590/0104-1169.0413.2630

Cited by 6 publications

(1 citation statement)

References 13 publications

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“…(9) In a study developed in Brazil with a sample of 90 patients, almost half (42.2%) had peritonitis, of which 15.5% had two or more episodes. (10) This is the main complication of peritoneal dialysis, whether in manual (MPD) or automated (APD). (11) Therefore, professionals should advise patients about measures that minimize this risk and lead to a tunnel infection or an infection in the peritoneal catheter exit site, which are possible risk factors associated with the development of peritonitis.…”

Section: Discussionmentioning

confidence: 99%

Pacientes em diálise peritoneal: associação entre diagnósticos de enfermagem e seus componentes

et al. 2019

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Resumo Objetivo: Analisar a associação entre os diagnósticos de enfermagem e suas características definidoras, fatores relacionados ou de risco para pacientes em diálise peritoneal. Métodos: Estudo de validação de conteúdo realizado com seis enfermeiros nefrologistas, os quais participaram no presente estudo como peritos. Utilizou-se a técnica de grupo focal. Para análise dos dados foi utilizada a regressão logística. Resultados: Para os quatro diagnósticos de enfermagem estudados foram identificados associação com seus componentes como segue. Fadiga: anemia, falta de energia e verbalização de uma constante falta de energia; Deambulação prejudicada: capacidade prejudicada de subir e descer calçadas, capacidade prejudicada de subir escadas e força muscular insuficiente; Constipação: ingestão insuficiente de líquidos, atividade física insuficiente, dor à evacuação, fezes duras e formadas; Volume de líquidos excessivo: mecanismos reguladores comprometidos, azotemia, ingestão maior que o débito, ganho de peso em curto período e eletrólitos alterados. Conclusão: Os diagnósticos analisados integram os domínios: atividade/repouso, eliminação e troca e nutrição e representam associação com seus componentes para os pacientes em diálise peritoneal.

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Section: Discussionmentioning

confidence: 99%

Pacientes em diálise peritoneal: associação entre diagnósticos de enfermagem e seus componentes

et al. 2019

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Evaluation of Tenckhoff Catheter Use and Ceftriaxone Intraperitoneal Administration in Horses

Alonso

Nitta

Akutagawa

et al. 2017

Journal of Equine Veterinary Science

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Peritonitis in horses persists with high incidence and mortality, requiring more innovative and effective therapeutic strategies. The aim of this study was to evaluate Tenckhoff catheters and intraperitoneal use of ceftriaxone in horses. Ten healthy, male horses, with an average age of 5 years, were used and divided into two groups of five animals each. A Tenckhoff catheter was implanted in both groups. The intraperitoneal group received 25 mg/kg of ceftriaxone diluted in 1 L of 0.9% saline solution (SS) intraperitoneally via the Tenckhoff catheter, and the intravenous group received 25 mg/kg of ceftriaxone intravenously and 1 L of SS intraperitoneally. In both groups, the dosing interval was every 24 hours for 5 days. The animals were evaluated clinically and with laboratory tests through a blood count and plasma fibrinogen assay. A macroscopic, physical-chemical, and cytological evaluation of the peritoneal fluid and an abdominal sonographic evaluation were conducted before the catheter implantation and at 1, 3, 5, 7, and 10 days after the implantation and ceftriaxone administration. Seven days after the catheter insertion and the beginning of the intraperitoneal treatment, a laparoscopic evaluation was performed. The Tenckhoff catheter proved to be an appropriate route for intraperitoneal solution administration; however, it promoted a moderate inflammatory response in the abdomen. No differences in inflammatory reaction was observed between groups, suggesting that the intraperitoneal administration of the drug did not trigger a local or systemic inflammatory process, amplifying the possibilities of intraperitoneal route utilization in the treatment of peritonitis.

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Educational interventions and identification of risk factors to prevent and reduce peritonitis in peritoneal dialysis: A scoping review

Fernàndez Labadía,

Masot,

Tejero Vidal

et al. 2024

Journal of Renal Care

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BackgroundPeritonitis is a common and serious complication of peritoneal dialysis and is one of the main causes of peritoneal dialysis technique failure and long‐term hemodialysis conversion.ObjectivesThe aim of the review was to identify and clarify peritonitis risk factors and learn about strategies employed at international level to prevent and reduce the occurrence of peritoneal dialysis associated infections and their complications.DesignA scoping review.ParticipantsAdults in pertitoneal dialysis.MeasurementsThe methodology framework of Arksey and O'Malley and PRISMA for Scoping Reviews guidelines were applied. A search was conducted of PubMed, Scopus and CINAHL using terms to identify peritoneal dialysis ‐associated risk factors and interventions carried out for the prevention and reduction of peritonitis in adult persons living at home.ResultsThe 17 studies selected were based on work carried out in nine different countries. Eleven articles analysed modifiable risk factors (low educational level, being a foreigner and low adherence to aseptic technique) and non‐modifiable risk factors (age and comorbidities) that predispose to peritonitis in peritoneal dialysis. The other six studies applied an intervention to improve the prevalence of peritonitis considering educational practices adapted to patient characteristics and the application of retraining.ConclusionsPersonalised patient training and the identification of risk factors for peritonitis are key to reducing complications and enhancing the survival of peritoneal dialysis patients and the effectiveness of the technique.

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Peritonitis and catheter exit-site infection in patients on peritoneal dialysis at home

Cited by 6 publications

References 13 publications

Pacientes em diálise peritoneal: associação entre diagnósticos de enfermagem e seus componentes

Pacientes em diálise peritoneal: associação entre diagnósticos de enfermagem e seus componentes

Evaluation of Tenckhoff Catheter Use and Ceftriaxone Intraperitoneal Administration in Horses

Educational interventions and identification of risk factors to prevent and reduce peritonitis in peritoneal dialysis: A scoping review

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