Rescue plan for CAPD peritonitis: Using ultrasonography as a guide on when to remove the catheter.

IF 1.5 4区医学 Q3 HEMATOLOGY

Therapeutic Apheresis and Dialysis Pub Date : 2023-12-01 Epub Date: 2023-08-26 DOI:10.1111/1744-9987.14042

Dusit Lumlertgul, Nantawan Tinroongroj, Suthaporn Lumlertgul, Pannamart Siwapitak, Rattanaluck Tungkanakorn, Supaporn Kaewpanya

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引用次数: 0

Abstract

Introduction: Ultrasound has been found to facilitate early identification of peritonitis in patients undergoing continuous ambulatory peritoneal dialysis (CAPD).

Methods: A retrospective analysis was carried out to evaluate the effectiveness of ultrasonography-guided removal of the Tenckhoff catheter in reducing complications like a shift to hemodialysis or death in CAPD patients.

Results: The "peritonitis rescue plan" supported timely decision-making for the removal of the infected catheter and resulted in a lower peritonitis episode per patient per month ratio (from 1:36 to 1:122) in 2021, a lower death rate (from 19% to 6.6%) and lower incidences of shifts to hemodialysis (from 2%-9% to 0%) as compared to that before the implementation of the plan in 2019.

Conclusion: The implementation of the "peritonitis rescue plan" and the removal of the infected catheter within 3 days of peritonitis being detected was successful in improving the standard of care for patients undergoing CAPD.

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CAPD腹膜炎的抢救计划：使用超声波作为何时移除导管的指南。

引言：在接受持续性非卧床腹膜透析（CAPD）的患者中，超声有助于早期识别腹膜炎。方法：进行回顾性分析，以评估超声引导下移除Tenckhoff导管在减少CAPD患者转为血液透析或死亡等并发症方面的有效性。结果：“腹膜炎抢救计划”支持了及时做出移除受感染导管的决策，并导致2021年每位患者每月腹膜炎发作率较低（从1:36降至1:122），与2019年该计划实施前相比，死亡率较低（从19%降至6.6%），转为血液透析的发生率较低（由2%-9%降至0%）检测到腹膜炎的天数成功地提高了接受CAPD的患者的护理标准。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Therapeutic Apheresis and Dialysis 医学-泌尿学与肾脏学

CiteScore

3.00

自引率

10.50%

发文量

166

审稿时长

6-12 weeks

期刊介绍： Therapeutic Apheresis and Dialysis is the official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis and the Japanese Society for Dialysis Therapy. The Journal publishes original articles, editorial comments, review articles, case reports, meeting abstracts and Communications information on apheresis and dialysis technologies and treatments.