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International Urology and Nephrology

, Volume 50, Issue 4, pp 763–769 | Cite as

Association between keeping home records of catheter exit-site and incidence of peritoneal dialysis-related infections

  • Hidekazu Iida
  • Noriaki Kurita
  • Shino Fujimoto
  • Yuka Kamijo
  • Yoshitaka Ishibashi
  • Shingo Fukuma
  • Shunichi Fukuhara
Nephrology - Original Paper
  • 129 Downloads

Abstract

Purpose

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.

Methods

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.

Results

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.

Conclusions

This study could not prove that keeping home records of patients’ catheter exit site is associated with a lower incidence of PD-related infections.

Keywords

Peritoneal dialysis PD-related infections Exit-site infection Tunnel infection Peritonitis Home records 

Notes

Acknowledgements

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.

Supplementary material

11255_2018_1789_MOESM1_ESM.docx (1.8 mb)
Supplementary material 1 (DOCX 1870 kb)

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Copyright information

© Springer Science+Business Media B.V., part of Springer Nature 2018

Authors and Affiliations

  1. 1.Center for Innovative Research for Communities and Clinical Excellence (CiRC2LE)Fukushima Medical UniversityFukushimaJapan
  2. 2.Department of Clinical EpidemiologyFukushima Medical UniversityFukushima CityJapan
  3. 3.You Home Clinic IshinomakiIshinomakiJapan
  4. 4.Department of Innovative Research and Education for Clinicians and Trainees (DiRECT)Fukushima Medical University HospitalFukushima CityJapan
  5. 5.Department of NephrologyJapanese Red Cross Medical CenterTokyoJapan
  6. 6.Department of Healthcare EpidemiologySchool of Public Health in the Graduate School of Medicine, Kyoto UniversityKyotoJapan

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