A clinical audit to compare peritonitis rates between peritoneal dialysis delivery systems

Williams, Lesley, Douglas, Clint, Bonner, Ann, Williams, Nicola, & Ranganathan, Dwarakanathan (2015) A clinical audit to compare peritonitis rates between peritoneal dialysis delivery systems. Renal Society of Australasian Journal, 11(2), pp. 68-72.

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Abstract

Peritonitis is a major problem for patients with end-stage kidney disease undergoing peritoneal dialysis (PD). It is the main cause of failure of PD. Two different PD delivery systems are used across Australia although there is inconsistent evidence comparing the systems. The aim of this retrospective audit is to compare the rates and risk of peritonitis in a cohort of incident patients using two PD delivery systems.

All consecutive patients starting PD between 1 August 2010 and 31 March 2012 were included and followed until 30 June 2013. Data relating to accepted risk factors for peritonitis were collected and analysed. There were 50 patients (26 men; 24 women) aged between 30 and 87 years. There were 29 episodes of peritonitis in 17 patients. Rates of peritonitis were 1 episode per 69.19 patient-months compared with 1 episode per 18.67 patient-months. Mean times to first episode of peritonitis were 13.11 months compared to 7.13 months. The relative risk of PD-related peritonitis was twice as high (RR = 2.04, 95% CI = 0.85 to 4.94) for patients using the one system (44.4%) compared to a second system (21.7%). Since this is not a randomised trial no firm conclusions can be drawn. Centres should also monitor peritonitis rates for each system.

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ID Code: 89019
Item Type: Journal Article
Refereed: Yes
Keywords: Peritoneal Dialysis, Connection Systems, Clinical Audi,, Peritonitis
ISSN: 1832-3804
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000) > Nursing not elsewhere classified (111099)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Nursing
Deposited On: 13 Oct 2015 22:57
Last Modified: 15 Oct 2015 05:11

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