Educational interventions in peritoneal dialysis: A narrative review of the literature

Schaepe, Christiane; Bergjan, Manuela

doi:10.1016/j.ijnurstu.2014.12.009

Cited by 41 publications

(39 citation statements)

References 43 publications

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“…179 Single center observational studies from different parts of the world, as well as multinational national registry studies have reported that the rates of PD-related infections have steadily decreased over the last 10-20 years. 180,[186][187][188][189][190][191][192][193] Within Australia, country-wide PD-related peritonitis rates fell significantly by 37% over a 5-year period from 0.62 episodes per patient-year in 2008 to 0.39 episodes per patient-year in 2013 after a concerted, multidisciplinary and multipronged national peritonitis reduction campaign involving quarterly audit and feedback of individual unit peritonitis rates, prioritization of peritonitis prevention trials by the Australasian Kidney Trials Network, updating national clinical practice guidelines on peritonitis, launching peritonitis guideline implementation projects, publishing of a call to action paper, establishment of a PD Academy to provide PD training to junior nephrologists and nursing staff, and development of a Home Dialysis Network to support home dialysis patients (http:// homedialysis.org.au/). 161,[180][181][182][183][184][185] These reductions have been variously attributed to the use of twin bag disconnection systems, implementation of mupirocin chemoprophylaxis protocols, topical exit site application of gentamicin, coprescription of nystatin or fluconazole with antibiotic therapy, improved training of PD patients and/or staff, and better identification and targeting of peritonitis risk factors.…”

Section: Peritonitismentioning

confidence: 99%

The Current State of Peritoneal Dialysis

Mehrotra

Devuyst

Davies

et al. 2016

JASN

413

344

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Technical innovations in peritoneal dialysis (PD), now used widely for the long-term treatment of ESRD, have significantly reduced therapy-related complications, allowing patients to be maintained on PD for longer periods. Indeed, the survival rate for patients treated with PD is now equivalent to that with in-center hemodialysis. In parallel, changes in public policy have spurred an unprecedented expansion in the use of PD in many parts of the world. Meanwhile, our improved understanding of the molecular mechanisms involved in solute and water transport across the peritoneum and of the pathobiology of structural and functional changes in the peritoneum with long-term PD has provided new targets for improving efficiency and for intervention. As with hemodialysis, almost half of all deaths on PD occur because of cardiovascular events, and there is great interest in identifying modality-specific factors contributing to these events. Notably, tremendous progress has been made in developing interventions that substantially reduce the risk of PD-related peritonitis. Yet the gains have been unequal among individual centers, primarily because of unequal clinical application of knowledge gained from research. The work to date has further highlighted the areas in need of innovation as we continue to strive to improve the health and outcomes of patients treated with PD.

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Section: Peritonitismentioning

confidence: 99%

The Current State of Peritoneal Dialysis

Mehrotra

Devuyst

Davies

et al. 2016

JASN

413

344

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“…En nuestra revisión se encontró una adherencia a la técnica de conexión del 87%, lo cual evidencia el trabajo de capacitación y educación continua con el paciente, la no adherencia es del 13% siendo similar al 10% reportado en la literatura [46][47][48][49][50][51][52] .…”

Section: Discussionunclassified

Microbiological evaluation safety cap in peritoneal dialysis

García¹,

Silva²,

Herrera³

et al. 2015

Rev. Colomb. Nefrol.

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ResumenEn los pacientes con enfermedad renal crónica terminal, que reciben terapia dialítica bajo la modalidad de diálisis peritoneal, se ha descrito que las complicaciones infecciosas como la peritonitis, permanecen como la principal causa de pérdida de la terapia, aún después de lograr disminuir las tasas de presentación de esta complicación. Los factores etiológicos asociados son múltiples y van desde la condición clínica del paciente, su adherencia al protocolo de realización de la terapia, su estado socioeconómico y el sistema utilizado para el aporte de los líquidos al peritoneo. Tomando como objetivo estos factores, decidimos estudiar la adherencia al protocolo de conexión de diálisis,el comportamiento microbiológico y su asociación altapón de seguridad del cambio anterior del sistema de diálisis peritoneal BenY®, en pacientes previamente clasificados según su adherencia al protocolo de conexión a diálisis. Se evaluó la técnica del paciente para la conexión a su terapia según la escala de 9 pasos fundamentales y puntos adicionales, y se tomaron cultivos de dispositivos nuevos y usados por los pacientes. En nuestro estudio no se evidenció asociación clínicamente significativa del dispositivo evaluado en el desarrollo de peritonitis, comparado con otros existentes para la misma finalidad. Palabras clave: Diálisis peritoneal, peritonitis, tapón de seguridad del cambio anterior (fuente DeCS). Microbiological evaluation safety cap in peritoneal dialysis AbstractIn patients with end stage renal disease treated with peritoneal dialysis, peritonitis remain as a principal cause of complications and loss patient for this therapy, instead of the decrease in peritonitis rate. Etiology has been related to multiple factors included clinical conditions of patient, follow of a clinical protocol for connection to dialysis, its socioeconomic status and the used system to deliver fluid to peritoneal cavity. Considering that, in this study we evaluated the microbiological behavior of "Sistema de diálisis peritoneal BenY´s® "Safety Lock", and its contribution to peritonitis develop, in evaluated patient for adherence to the clinical protocol for connection to peritoneal dialysis. Patient connection technique, was assessed by nine key steps, and then took cultures of new and used devices by patients. In our study there is no evidence of a clinical correlation of evaluated device with infectious episodes.

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“…The location of training varies, but the patient's home or a specific training environment is recommended (16). Nurses delivering patient training need to have adequate skills in PD and adaptability to meet individual needs with an understanding of learning and educational principles.…”

Section: Case Studymentioning

confidence: 99%

The Needs of Older Patients for Peritoneal Dialysis: Training and Support at Home

Hurst

Figueiredo

2015

Perit Dial Int

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Chronic kidney disease (CKD) in all its stages has become an important problem for older patients, stage 3 -5 is expected to happen in 25 to 30% of the population, and a higher prevalence can be found in residential care and nursing homes, affecting the demand for patient education. Although older patients are able and keen to learn, there are specific needs that must be addressed. The focus of this paper is to review the demands to train and maintain older patients on peritoneal dialysis (PD) at home. Perit Dial Int

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Educational interventions in peritoneal dialysis: A narrative review of the literature

Cited by 41 publications

References 43 publications

The Current State of Peritoneal Dialysis

The Current State of Peritoneal Dialysis

Microbiological evaluation safety cap in peritoneal dialysis

The Needs of Older Patients for Peritoneal Dialysis: Training and Support at Home

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