Diabetes Is the Most Critical Risk Factor of Adverse Complications After Peritoneal Dialysis Catheter Placement

Chang, Hsiao-Huang; Chang, Ching-Hsiang; Hsiao, Chen-Yuan; Kao, Shih-Yi; Chen, Jinn-Yang; Chen, Tien-Hua; Tsai, Pei-Ling

doi:10.3389/fmed.2021.719345

Cited by 4 publications

(2 citation statements)

References 28 publications

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“…37 A retrospective, observational study of 707 patients in Taiwan showed that comorbid DM impacted on PD catheter-related infections (ESTIs and peritonitis) after catheter placement (OR 2.859). 38 The present study also showed almost the same outcomes as the Taiwan study.…”

Section: Discussionsupporting

confidence: 85%

A multi-institutional, observational study of outcomes after catheter placement for peritoneal dialysis in Japan

Sakurada,

Kojima,

Yamada

et al. 2023

Perit Dial Int

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Background: This multi-institutional, observational study examined whether the outcomes after peritoneal dialysis (PD) catheter placement in Japan meet the audit criteria of the International Society for Peritoneal Dialysis (ISPD) guideline and identified factors affecting technique survival and perioperative complications. Methods: Adult patients who underwent first PD catheter placement for end-stage kidney disease between April 2019 and March 2021 were followed until PD withdrawal, kidney transplantation, transfer to other facilities, death, 1 year after PD start or March 2022, whichever came first. Primary outcomes were time to catheter patency failure and technique failure, and perioperative infectious complications within 30 days of catheter placement. Secondary outcomes were perioperative complications. Appropriate statistical analyses were performed to identify factors associated with the outcomes of interest. Results: Of the total 409 patients, 8 who underwent the embedded catheter technique did not have externalised catheters. Of the 401 remaining patients, catheter patency failure occurred in 25 (6.2%). Technical failure at 12 months after PD catheter placement calculated from cumulative incidence function was 15.3%. On Cox proportional hazards model analysis, serum albumin (hazard ratio (HR) 0.44; 95% confidence interval (CI) 0.27–0.70) and straight type catheter (HR 2.14; 95% CI 1.24–3.69) were the independent risk factors for technique failure. On logistic regression analysis, diabetes mellitus was the only independent risk factor for perioperative infectious complications (odds ratio 2.70, 95% CI 1.30–5.58). The occurrence rate of perioperative complications generally met the audit criteria of the ISPD guidelines. Conclusion: PD catheter placement in Japan was proven to be safe and appropriate.

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Section: Discussionsupporting

confidence: 85%

A multi-institutional, observational study of outcomes after catheter placement for peritoneal dialysis in Japan

Sakurada,

Kojima,

Yamada

et al. 2023

Perit Dial Int

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“…8 Risk factors for PD catheter exit-site infection, on the other hand, are better conceptualized by the relationship to the operation. Before catheter insertion, obesity, 49 poor diabetic control, 50,51 and S. aureus carriage status 52 are predictive of subsequent exit-site or tunnel infection. Once nasal S. aureus carriage is detected on screening, nasal antibiotic prophylaxis, such as mupirocin, should be used preoperatively.…”

Section: Environment-relatedmentioning

confidence: 99%

Peritoneal Dialysis–Related Infections

Cho

Chow

et al. 2023

CJASN

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Peritoneal dialysis represents an important treatment choice for patients with kidney failure. It allows them to dialyze outside the hospital setting, facilitating enhanced opportunities to participate in life-related activities, flexibility in schedules, time and cost savings from reduced travel to dialysis centers, and improved quality of life. Despite its numerous advantages, the peritoneal dialysis utilization has been static or diminishing in parts of the world. Peritoneal dialysis-related infections, such as peritonitis, exit-site infection or tunnel infection, is a major concern for patients, caregivers, and health professionals – which may result in hesitation to consider this as treatment or to cease therapy when these complications take place. In this review, the definition, epidemiology, risk factors, prevention, and treatment of peritoneal dialysis-related infection based on the contemporary evidence will be described.

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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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Diabetes Is the Most Critical Risk Factor of Adverse Complications After Peritoneal Dialysis Catheter Placement

Cited by 4 publications

References 28 publications

A multi-institutional, observational study of outcomes after catheter placement for peritoneal dialysis in Japan

A multi-institutional, observational study of outcomes after catheter placement for peritoneal dialysis in Japan

Peritoneal Dialysis–Related Infections

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

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