Preliminary Evaluation of Incremental Peritoneal Dialysis in 25 Patients

2000 ◽  
Vol 20 (4) ◽  
pp. 412-417 ◽  
Author(s):  
Amedeo F. De Vecchi ◽  
Antonio Scalamogna ◽  
Silvia Finazzi ◽  
Patrizia Colucci ◽  
Claudio Ponticelli
Keyword(s):  
Quality Of Life ◽  
Renal Function ◽  
Peritoneal Dialysis ◽  
Residual Renal Function ◽  
Preliminary Evaluation ◽  
Site Infection ◽  
Exit Site ◽  
Exit Site Infection ◽  
Work Activity

Background Incremental dialysis has been suggested for patients with some residual renal function. However, very little published clinical data exist on the feasibility of this schedule. Objectives To assess feasibility of incremental dialysis, with regard to its effect, complications, and impact on quality of life. Design Pilot prospective study, not controlled. Setting Nephrology division, public clinical research hospital. Patients Twenty-five patients (19 men, mean age 61 ± 13 years, body weight 63 ± 11 kg) began peritoneal dialysis (the first treatment of uremia) with a single nightly exchange lasting 10 hours or 2 daily exchanges over 12 hours according to creatinine clearance and Kt/V. Patients gave informed consent and reported their work activity, degree of rehabilitation, and their quality of life by answering a questionnaire prepared for this purpose. Outcome Measures Survival rate, complications related to peritoneal dialysis, and residual renal and peritoneal clearances. Results During the study period no patient died. Complications related to dialysis were peritonitis (0.41 episodes/year) and exit-site infection (0.32 episodes/year). All patients continued to work with full rehabilitation and considered 1 or 2 exchanges per day less troublesome than 3 or 4. Conclusions Incremental dialysis is well accepted by patients and staff. This technique does not involve a high risk of complications and is economical. Therefore incremental dialysis is feasible.

Exit-Site Infection during Continuous and Cycling Peritoneal Dialysis in Children

1990 ◽  
Vol 10 (1) ◽  
pp. 31-35 ◽  
Author(s):  
Maurice Levy ◽  
J. Williamson Balfe ◽  
Dennis Geary ◽  
Sue Fryer-Keene ◽  
Robert Bannatyne
Keyword(s):  
Peritoneal Dialysis ◽  
Site Infection ◽  
Exit Site ◽  
Exit Site Infection ◽  
Daily Dialysis ◽  
Pseudomonas Species ◽  
Before And After ◽  
Species Being ◽  
Catheter Replacement

A 10-year retrospective review of pediatric patients on peritoneal dialysis showed that 50 of 83 had 132 episodes of exit-site infection (ESI). Thirty-nine episodes were purulent. The most prevalent organism was Staphylococcus aureus. Staphylococcus epidermidis was also common, usually occurring in purulent infections. Gramnegative organisms were responsible for 23 ESls, with Pseudomonas species being the most common. Age, sex, concomitant primary disease type, length of training, dressing techniques, quality of daily dialysis technique, use of diapers, and pyelostomies did not affect the incidence of ESI. However, 40% of children with a skin infection from other sites had associated peritoneal catheter ESI. Thirty-eight episodes of ESI in 28 patients resulted in peritonitis; the main organisms involved were Staphylococcus and Pseudomonas species. Catheters were replaced in 13 patients with peritonitis, but there was no difference in the incidence of ESI before and after catheter replacement.

An unexpected cause of residual renal function loss

2020 ◽  
Vol 40 (4) ◽  
pp. 422-424
Author(s):  
Elsa Soares ◽  
Patricia Valério ◽  
Catarina Abrantes ◽  
Teresa Furtado ◽  
José Assunção ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Renal Function ◽  
Peritoneal Dialysis ◽  
Thyroid Function ◽  
Thyroid Dysfunction ◽  
Marked Decrease ◽  
Residual Renal Function ◽  
Function Loss ◽  
Baseline Values

The residual renal function (RRF) in a peritoneal dialysis (PD) patient is clinically important because it contributes to dialytic adequacy, quality of life and mortality. We present the case of a patient in PD with a marked decrease in RRF. Even after the increase of dialysis, the patient maintained asthenia and anorexia, was prostrate and showed no improvement analytically. The study revealed hypothyroidism, iatrogenic due to the use of amiodarone. After suspension of the drug and replacement with levothyroxine, there was a normalization of thyroid function and recovery of RRF to baseline values. A thyroid dysfunction is associated with several changes in renal function, in most cases reversible after obtaining euthyroid state. The association between thyroid dysfunction and loss of RRF continues to be under-recognized. We should consider monitoring thyroid function annually as routine in this group of patients.

Exit-Site Infection during Continuous and Cycling Peritoneal Dialysis in Children

1990 ◽  
Vol 10 (1) ◽  
pp. 31-35
Author(s):  
Maurice Levy ◽  
J. Williamson Balfe ◽  
Dennis Geary ◽  
Sue Fryer-Keene ◽  
Robert Bannatyne
Keyword(s):  
Peritoneal Dialysis ◽  
Site Infection ◽  
Exit Site ◽  
Exit Site Infection ◽  
Daily Dialysis ◽  
Pseudomonas Species ◽  
Before And After ◽  
Gram Negative Organisms ◽  
Species Being

A 10-year retrospective review of pediatric patients on peritoneal dialysis showed that 50 of 83 had 132 episodes of exit-site infection (ESI). Thirty-nine episodes were purulent. The most prevalent organism was Staphylococcus aureus. Staphylococcus epidermidis was also common, usually occurring in purulent infections. Gram negative organisms were responsible for 23 ESls, with Pseudomonas species being the most common. Age, sex, concomitant primary disease type, length of training, dressing techniques, quality of daily dialysis technique, use of diapers, and pyelostomies did not affect the incidence of ESI. However, 40% of children with a skin infection from other sites had associated peritoneal catheter ESI. Thirty-eight episodes of ESI in 28 patients resulted in peritonitis; the main organisms involved were Staphylococcus and Pseudomonas species. Catheters were replaced in 13 patients with peritonitis, but there was no difference in the incidence of ESI before and after catheter replacement.

scholarly journals Peritoneal dialysis in a Moroccan center: Prevalence and complications

2020 ◽  
Vol 3 (2) ◽  
pp. 93-103
Author(s):  
Abdelaali Bahadi ◽  
Sanaa Benbria ◽  
Hicham Rafik ◽  
Driss El Kabbaj
Keyword(s):  
Quality Of Life ◽  
Renal Function ◽  
Peritoneal Dialysis ◽  
Renal Disease ◽  
End Stage Renal Disease ◽  
Residual Renal Function ◽  
Mechanical Complications ◽  
Stage Renal Disease ◽  
End Stage

Abstract : Introduction: Peritoneal dialysis (PD) is as effective as hemodialysis and often provides a better quality of life for patients. Despite this, the replacement therapy remains little established in our country with a prevalence of less than 1% of patients with end-stage renal disease. The objective of this work is to report the development and complications of PD in our center. Patients and methods: This is a retrospective study including all patients on PD between October 2008 and March 2019. We noted their demographic and clinical data at their initiation in peritoneal dialysis and we followed their evolution to discuss infectious and mechanical complications as well as the causes of PD exit. Results: During the study period, 456 patients were admitted for end-stage renal disease. Among these patients, only 28 (6.1%) were put on PD including two diabetics. Their average age was 37.7 years with a sex ratio of 0.8. The average body surface area was 1.59 m² with an average residual renal function of 6.05 ml / min. PD was chosen as the first intention in 20 patients while 8 patients were on hemodialysis. The evolution was marked by a median survival of the technique of 18.5 months characterized by 8 episodes of peritonitis in 4 patients corresponding to a rate of 1 episode over 56 months. Regarding mechanical complications, we noted 9 omentum aspirations, 1 leak in one case and 1 umbilical hernia requiring surgical recovery in a patient. Out of 28 patients, 17 discharges were identified; 10 patients (67%) were transferred to hemodialysis, 4 died and only 3 patients (18%) were transplanted. The final transfer to hemodialysis was related to mechanical complications in 5 cases, loss of ultrafiltration in one case, repeated hydro-sodium overload in one case, peritonitis in one case and social reasons in two cases. Conclusion: PD is an effective technique which preserves residual renal function and quality of life but its prevalence remains low in the order of 6% of patients treated for end-stage renal disease. The complications are dominated in our context by the mechanical complications main cause of final transfer in hemodialysis.

scholarly journals Exteriorizing the Outer Cuff to Treat Intractable Exit Site Infection and Tunnel Infection in Peritoneal Dialysis Cases: A Single Institute Experience

2020 ◽  
pp. 1-3
Author(s):  
Tsung I Hung ◽  
Ching Shya Yong ◽  
Juiting Chang ◽  
Tsung I Hung ◽  
Wei Ting Chang ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Renal Disease ◽  
End Stage Renal Disease ◽  
Treatment Method ◽  
Residual Renal Function ◽  
Site Infection ◽  
Exit Site ◽  
Exit Site Infection ◽  
Stage Renal Disease ◽  
End Stage

Peritoneal dialysis (PD) is an important treatment method for patients with end stage renal disease. Since its introduction in 1975, clinical studies have shown that PD can improve patient survival, retain residual renal function, and lower the risk of infection. It can also reduce financial stress in the growing population with end stage renal disease. However, PD has limitations, mainly technique failures. Of these, catheterrelated infection is a major cause of catheter failure in PD. We reviewed the medical records of 986 PD patients from 2008 to 2018 at our hospital. The patients with intractable tunnel and exit site infection received exteriorization of the outer cuff and cuff shaving. The favourable outcomes observed recommend this treatment for PD patients whose catheter infection is not well controlled.

scholarly journals Peritoneal Dialysis in the elderly

2018 ◽  
Vol 1 (1) ◽  
pp. 5-8
Author(s):  
William White ◽  
Edwina Brown
Keyword(s):  
Quality Of Life ◽  
Renal Function ◽  
Peritoneal Dialysis ◽  
Renal Replacement Therapy ◽  
Replacement Therapy ◽  
Fluid Balance ◽  
Older Patients ◽  
The Elderly ◽  
Residual Renal Function

AbstractPeritoneal dialysis (PD) can provide an improved quality of life to older patients requiring renal replacement therapy (RRT) compared to in-centre haemodialysis (HD). Frailty in the elderly poses challenges to PD, which may be met by assisted PD, and integration with geriatric and palliative services. The focus of PD care in the elderly should be on meeting patients’ goals, controlling symptoms, maintaining fluid balance and maintaining residual renal function

scholarly journals MP513IMPACT OF RESIDUAL RENAL FUNCTION ON CLINICAL OUTCOME AND QUALITY OF LIFE IN PATIENTS ON PERITONEAL DIALYSIS

2017 ◽  
Vol 32 (suppl_3) ◽  
pp. iii617-iii617
Author(s):  
Kallel Hend ◽  
Krid Madiha ◽  
Jbeli Hela ◽  
Khedher Rania ◽  
Ben Mami Ikram ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Renal Function ◽  
Peritoneal Dialysis ◽  
Clinical Outcome ◽  
Residual Renal Function

The impact of residual renal function on quality of life in patients with peritoneal dialysis

2018 ◽  
Vol 90 (2) ◽  
pp. 106-111 ◽  
Author(s):  
Wei Zhou ◽  
Weifeng Hu ◽  
Guofeng Han ◽  
Huiling Wang ◽  
Jinyuan Zhang ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Renal Function ◽  
Peritoneal Dialysis ◽  
Residual Renal Function ◽  
The Impact

scholarly journals Comparison Of 2% Chlorhexidine And 70% Alcohol Swab Versus 10% Povidone- Iodine Solution In Preventing Peritoneal Dialysis Exit Site Infection

2020 ◽  
Vol 6 (2) ◽  
pp. 1-8
Author(s):  
Issa Al Salmi ◽  
Keyword(s):  
Peritoneal Dialysis ◽  
Renal Replacement Therapy ◽  
Povidone Iodine ◽  
Site Infection ◽  
Iodine Solution ◽  
Exit Site ◽  
Exit Site Infection ◽  
Different Types ◽  
Povidone Iodine Solution

Peritoneal Dialysis (PD) utilization increases gradually due to increase of patient's awareness for different types of Renal Replacement Therapy (RRT). Hence, in order to be successful with PD program, we need to build strong strategies to improve patients’ quality of care. One of the risks associated with PD is the Exit-Site-Infection (ESI).

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