When the color of peritoneal dialysis effluent can be used as a diagnostic tool

Dossin, Thomas; Goffin, Éric

doi:10.1111/sdi.12740

Cited by 12 publications

(9 citation statements)

References 70 publications

(79 reference statements)

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“…The macroscopic change of effluent can be the first clue. An increased number of neutrophils mostly causes cloudy effluent, and the first diagnosis to be considered is infective 7,9 peritonitis. The increased neutrophil suspicion can be seen by the increased PMN from the automated cell counter and confirmed by cytospin slide evaluation under a microscope.…”

Section: Discussionmentioning

confidence: 99%

The Role of Effluent Analysis and Culture in Diagnosis and Monitoring of Peritoneal Dialysis-Related Peritonitis

Indrasari,

Ali

2024

Indonesian J. Clin. Pathol. Med. Lab.

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Peritoneal Dialysis (PD) is one of the available renal replacement therapy options for End-Stage Renal Disease (ESRD). One of the most common complications of PD is peritonitis. A 13-year-old boy was admitted to the hospital due to cloudy effluent and abdominal pain four days before admission. He was diagnosed with ESRD in 2015 and has undergone Continuous Ambulatory Peritoneal Dialysis (CAPD) since 2017. The physical examination findings were as follows: the temperature was 36.6 C, the conjunctiva was anemic, the abdomen was tender, and both of the lower extremities were edematous. Peritoneal dialysis effluent analysis showed yellow and turbid effluent with a leukocyte count of 13.346 cells/µL and polymorphonuclear (PMN) cells predominance (69.3%), effluent and serum urea of 221 and 243 mg/dL, effluent and serum creatinine of 16.7 and 18.26 mg/dL, respectively. Effluent Gram stain showed increased leukocytes without bacteria, while effluent culture showed the growth of Methicillin-sensitive Staphylococcus aureus. According to the International Society of Peritoneal Dialysis 2022 guidelines, all criteria for infective peritonitis in this patient were met: clinical features (turbid effluent and abdominal pain), increased cell count (>100 cells/µL) with PMN >50%, and positive effluent culture. The patient was administered intravenous Ampicillin-Sulbactam based on the effluent culture and antimicrobial susceptibility testing. Serial effluent analyses suggested a return-to-normal trend in leukocyte and PMN counts. After 18 days of hospitalization, the patient was allowed to discharge based on clinical and laboratory improvements.

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Section: Discussionmentioning

confidence: 99%

The Role of Effluent Analysis and Culture in Diagnosis and Monitoring of Peritoneal Dialysis-Related Peritonitis

Indrasari,

Ali

2024

Indonesian J. Clin. Pathol. Med. Lab.

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“…Uma mudança na aparência indica uma complicação da técnica e requer um manejo rápido e preciso. Isso também pode revelar um problema não diretamente relacionado à técnica de diálise em si, mas a outra situação patológica que passaria despercebida em pacientes que não estão realizando trocas de diálise peritoneal [Dossin and Goffin 2019].…”

Section: Remote Patient Management (Rpm)unclassified

IoT Diálise Peritoneal: Uma Abordagem Explorando o Monitoramento Remoto de Pacientes

Albandes¹,

Souza²,

Lambrecht³

et al. 2022

Anais Do XLIX Seminário Integrado De Software E Hardware (SEMISH 2022)

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Estima-se que 5,4 milhões de pessoas serão submetidas à Terapia de Reposição Renal até 2030. A diálise peritoneal parece ser a forma mais difundida de tratamento domiciliar destes pacientes, mas enfrenta problemas relacionados à sua aderência. O monitoramento remoto tem a potencialidade de aumentar a aderência ao tratamento. Este trabalho tem por objetivo a concepção de uma abordagem que integra: (i) uma plataforma para aquisição de sinais vitais e outros parâmetros de um paciente em diálise peritoneal; (ii) um ambiente onde regras personalizáveis construa a Ciência de Situação e, quando necessário envie notificações para a equipe médica; e (iii) uma interface de visualização dos sinais e das imagens que possa ser acessada de forma remota.

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“…In a normal circumstance, the Effluent dialysate of PD patients is transparent or yellowish clear. The change in its appearance can be indicative of intra-or extraperitoneal abnormality [6]. Image processing can offer a solution by detecting and classifying the changes in the appearance of effluent dialysate.…”

Section: Introductionmentioning

confidence: 99%

Mobile Virtual Assistant for Continuous Ambulatory Peritoneal Dialysis Complication Detection

Sari

Nurwardani

Fandiaz

et al. 2022

CSRID

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Peritoneal dialysis (PD) is an alternative treatment of home-based dialysis for Acute Kidney Injury (AKI). A patient who undergoes PD requires self-management skills to deliver and manage dialysis at home effectively. The effluent dialysate of PD patients can be an indicator for early diagnosis complications in Peritoneal dialysis. Under normal circumstances, the appearance of effluent dialysate is transparent to yellowish clear. Changes in turbidity level or color of effluent dialysate indicate an extra or intraperitoneal abnormality. This study aims to develop an image processing model to detect and classify effluent dialysate of PD patients for early warning of complications.The model was built into the mobile application system. The dataset was obtained from patients, and secondary data were used. Image augmentation is used to enhance the quantity of data by nine times. The data set were divided for train and validation within the 8:2 ratio. The result shows that our system has a high accuracy of 94.7% and minimal loss.

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When the color of peritoneal dialysis effluent can be used as a diagnostic tool

Cited by 12 publications

References 70 publications

The Role of Effluent Analysis and Culture in Diagnosis and Monitoring of Peritoneal Dialysis-Related Peritonitis

The Role of Effluent Analysis and Culture in Diagnosis and Monitoring of Peritoneal Dialysis-Related Peritonitis

IoT Diálise Peritoneal: Uma Abordagem Explorando o Monitoramento Remoto de Pacientes

Mobile Virtual Assistant for Continuous Ambulatory Peritoneal Dialysis Complication Detection

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