Chinese Journal of Blood Purification ›› 2019, Vol. 18 ›› Issue (09): 607-610.doi: 10.3969/j.issn.1671-4091.2019.09.007

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The correlation between preparation before fluid exchange and peritoneal dialysis- related peritonitis

  

  1. 1Center for Peritoneal Dialysis, Department of Nephrology, The First affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, China
  • Received:2019-04-08 Revised:2019-05-21 Online:2019-09-12 Published:2019-09-02

Abstract:

【Abstract】Objective This study was to explore the correlation between preparation before peritoneal dialysis (PD) fluid exchange and PD-related peritonitis. Methods PD patients who were regularly followed up between July and December, 2018 in our PD center were enrolled in this retrospective study. A questionnaire for the preparation conditions before fluid exchange was designed by our PD nurses. Demographic and clinical data and episodes of peritonitis were collected. Results A total of 336 PD patients were enrolled in this study. There were 215 (64.0%) patients compliant with environmental preparation, 295 (87.8%)
patients compliant with material preparation, and 172 (51.2%) patients compliant with manipulator preparation. A total of 127 episodes of peritonitis happened in 74 (22.0%) patients, with the peritonitis rate of 0.10 episodes per patient year. Cox regression analysis showed that non-compliance with environmental preparation (HR=1.659, P=0.037) and manipulator preparation (HR=1.792, P=0.019), and the manipulator not having standard training (HR=4.929, P=0.001) were the independent risk factors for peritonitis. Conclusion Non-compliance with environmental and manipulator preparations, and the manipulator not having standard training were independently associated with PD-related peritonitis.

Key words: Peritoneal dialysis, Peritonitis, Preparation before fluid exchange

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