In:
Therapeutic Apheresis and Dialysis, Wiley, Vol. 27, No. 3 ( 2023-06), p. 540-551
Abstract:
Studies focusing on catheter removal and the pathogenic spectrum of peritoneal dialysis‐associated peritonitis (PDAP) need to be updated. Methods Data were collected from four peritoneal dialysis (PD) centers. Peritonitis rates were compared using Poisson regression and Logistic regression was used to examine the risk factors for catheter removal. Results The PD duration (odds ratio [OR], 1.021; 95% confidence interval [CI] , 1.010–1.032), number of previous PDAP episodes (OR, 1.267; 95% CI, 1.039–1.545), dialysate white cell count 〉 100 × 10 6 /L on Day 5 of PDAP (OR, 6.088; 95% CI, 3.277–11.312), Pseudomonas aeruginosa (OR, 4.122; 95% CI, 1.071–15.874) and polymicrobial infections (OR, 3.257; 95% CI, 1.519–6.982) were independent predictors of catheter removal ( p 〈 0.05). The prevalence of polymicrobial peritonitis and fungal peritonitis has increased ( p 〈 0.05). Conclusion Attention should be paid to patients with long PD duration or a history of previous episodes of PDAP characteristics.
Type of Medium:
Online Resource
ISSN:
1744-9979
,
1744-9987
DOI:
10.1111/1744-9987.13956
Language:
English
Publisher:
Wiley
Publication Date:
2023
detail.hit.zdb_id:
2010864-3
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