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Relationship between peritoneal dialysis catheter line changes and PD associated peritonitis

Citation

Lioufas, NM and Tucker, AJ and Reynolds, A and Whittle, A and Jose, MD and Jeffs, L and Kirkland, G, Relationship between peritoneal dialysis catheter line changes and PD associated peritonitis, Nephrology, 7-9 September, 2015, Canberra, Australia, pp. 32. ISSN 1320-5358 (2015) [Conference Extract]


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Abstract

Aim: To establish the relationship between Tenckhoff catheter routine line changes and the development of peritoneal dialysis (PD) associated peritonitis.

Background: Tenckhoff catheter extension line changes are a routine part of PD care. They are recommended to be completed at six monthly intervals as per manufacturer’s instructions. However, there is no published scientific evidence regarding Tenckhoff catheter line changes.

Methods: We performed a retrospective analysis of the Royal Hobart Hospital cohort of peritoneal dialysis patients from 2008–2014. We collected data regarding patient demographics, as well as for the dates of Tenckhoff catheter line changes and specifics regarding episodes of PD associated peritonitis. PD peritonitis associated with contaminated lines and subsequent line changes were excluded.

Results: A total of 69 patient-episodes of peritonitis occurred in the period between 2008–2014, in a cohort of 53 patients. Mean age of the overall cohort was 64 years. We excluded 25 episodes due to contamination or in the context of recent infection. Of these episodes, 24% (10 episodes) of peritonitis occurred in the first month of routine line change, in contrast to a median of 13% (6 episodes) in any of the later months prior to routine line change.

Conclusions: Tenckhoff catheter line changes may be temporally associated with an increased risk of PD associated peritonitis. Further investigation is required to optimise aseptic non-touch technique to reduce episodes of peritonitis.

Item Details

Item Type:Conference Extract
Keywords:Peritoneal dialysis
Research Division:Medical and Health Sciences
Research Group:Clinical Sciences
Research Field:Nephrology and Urology
Objective Division:Health
Objective Group:Clinical Health (Organs, Diseases and Abnormal Conditions)
Objective Field:Urogenital System and Disorders
Author:Jose, MD (Professor Matthew Jose)
ID Code:102929
Year Published:2015
Deposited By:Medicine (Discipline)
Deposited On:2015-09-11
Last Modified:2016-03-22
Downloads:2 View Download Statistics

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