Association between keeping home records of catheter exit-site and incidence of peritoneal dialysis-related infections
- 195 Downloads
To prevent peritoneal dialysis (PD)-related infection, components of self-catheter care have been emphasized. However, studies on the effectiveness of home recording for the prevention of PD-related infections are limited. This study aimed to examine the association between keeping home records of catheter exit site and incidence of PD-related infections.
Home record books were submitted by patients undergoing PD. The proportion of days on which exit-site home recording was carried out for 120 days (0–100%) was obtained. The patients were divided into the frequent home recording group (≥ 40.5%; median value) and the infrequent home recording group (< 40.5%). The associations between the recording group and the incidence rate ratios (IRRs) of PD-related infections were estimated via negative binomial regression models.
A total of 67 patients participated in this study (mean age, 66.7 years). The incidence rates for exit-site infection, tunnel infection, and peritonitis were 0.42, 0.22, and 0.06 times/patient-year, respectively. The IRRs of the frequent versus infrequent home recording groups for PD-related infection were 1.58 (95% confidence interval [CI], 0.72–3.46) in the univariate analysis and 1.49 (95% CI, 0.65–3.42) in the multivariate analysis. The IRRs of the frequent versus infrequent home recording groups for composite of surgery to create a new exit site and removal of PD catheter were 0.55 (95% CI, 0.78–3.88) and 0.35 (95% CI, 0.06–1.99), respectively.
This study could not prove that keeping home records of patients’ catheter exit site is associated with a lower incidence of PD-related infections.
KeywordsPeritoneal dialysis PD-related infections Exit-site infection Tunnel infection Peritonitis Home records
We thank the participants of this study and the staff of Japanese Red Cross Medical Center. There is no funding disclosure regarding this research.
Compliance with ethical standards
Conflict of interest
The authors declare that there is no conflict of interest.
- 1.van Diepen ATN, Jassal SV (2013) A qualitative systematic review of the literature supporting a causal relationship between exit-site infection and subsequent peritonitis in patients with end-stage renal disease treated with peritoneal dialysis. Perit Dial Int 33(6):604–610CrossRefPubMedPubMedCentralGoogle Scholar
- 14.Schaefer F, Klaus G, Müller-Wiefel DE, Mehls O (1999) Intermittent versus continuous intraperitoneal glycopeptide/ceftazidime treatment in children with peritoneal dialysis-associated peritonitis. The Mid-European Pediatric Peritoneal Dialysis Study Group (MEPPS). J Am Soc Nephrol 10(1):136–145PubMedGoogle Scholar
- 15.Yu ZL, Yeoh LY, Seow YY, Luo XC, Griva K (2012) Evaluation of adherence and depression among patients on peritoneal dialysis. Singap Med J 53(7):474–480Google Scholar