Safae Boughlala, Mina Agrou, Latifa Driouch, N. Ouzeddoun, R. Bayahia, L. Benamar
{"title":"Tuberculous peritonitis in peritoneal dialysis: report of three cases","authors":"Safae Boughlala, Mina Agrou, Latifa Driouch, N. Ouzeddoun, R. Bayahia, L. Benamar","doi":"10.25796/bdd.v5i1.64573","DOIUrl":"https://doi.org/10.25796/bdd.v5i1.64573","url":null,"abstract":"Tuberculous peritonitis is a rare but dreaded complication in peritoneal dialysis. \u0000We report three cases of tuberculous peritonitis diagnosed in our PD center at over a period of 15 years. \u0000They are a woman and two men aged 50, 45 and 64 respectively. \u0000The diagnosis of tuberculous peritonitis was suspected in front of a many of clinical (AEG, abdominal pain, cloudy liquid), biological (inflammatory syndrome, the dialysate liquid with lymphocyte predominance and negative culture) and or radiological (abdominal lymphadenopathy) arguments. \u0000It was confirmed by the demonstration of Mycobacterium Tuberculosis in the dialysate by GeneXpert or by culture on LOWENSTEIN Jensen medium in 2 cases, and the characteristic appearance on anatomopathological examination in only 1 case. \u0000The evolution under antituberculous treatment was favorable, with recourse to the ablation of \u0000The diagnosis of tuberculous peritonitis in peritoneal dialysis is difficult and often late because the clinical signs is non-specific. It should be considered in the presence of any culture-negative peritonitis that is refractory to empirical treatment. \u0000Bacteriological or histological confirmation should not delay the start of anti-tuberculosis treatment because early diagnosis and rapid initiation of treatment are the keys to recovery and the only guarantee of a good prognosis.","PeriodicalId":366938,"journal":{"name":"Bulletin de la Dialyse à Domicile","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127739224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
R. Azar, Arielle Desitter, M. Guillou, Justine Schricke, Manon Geeraert
{"title":"Peritoneal dialysis in patients with refractory congestive heart failure","authors":"R. Azar, Arielle Desitter, M. Guillou, Justine Schricke, Manon Geeraert","doi":"10.25796/bdd.v5i1.64603","DOIUrl":"https://doi.org/10.25796/bdd.v5i1.64603","url":null,"abstract":"Chronic heart failure is a growing problem. Despite progress in its management, many patients become refractory to therapies including diuretic resistance, major congestion, and worsening renal function. The only alternative to get rid of excess water and sodium is ultrafiltration, which can be achieved via hemodialysis or peritoneal dialysis (PD). The majority of studies have shown multiple benefits of PD as an improvement in functional class, a reduction in hospitalization leading to increased quality of life, and even a reduction in mortality. Being a home dialysis technique, it is more favorably accepted by patients. It remains necessary to confirm these potential positive outcomes and to identify patients who would benefit the most from this treatment in the era of new therapies available to date.","PeriodicalId":366938,"journal":{"name":"Bulletin de la Dialyse à Domicile","volume":"138 6","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132236867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
G. Fomegne, Miguel-Ange Guillen, A. Ballout, Andreas Bottiggi
{"title":"Does individualization of dialysis dose positively influence the quality of life of peritoneal dialysis patients while preserving adequate dialysis?","authors":"G. Fomegne, Miguel-Ange Guillen, A. Ballout, Andreas Bottiggi","doi":"10.25796/bdd.v5i1.64253","DOIUrl":"https://doi.org/10.25796/bdd.v5i1.64253","url":null,"abstract":"Our objective is to evaluate the impact of individualization of the dialysis dose on the quality of dialysis and the quality of life of our peritoneal dialysis patients. \u0000Quality of life was assessed at least 3 months after individualization of the dialysis dose, by self-questionnaires using the SF-36 (short form) version of the KDQOL (Kidney Disease Quality Of Life) scale. The results of the KDQOL-SF36 are used as quantitative variables related to the achievement of a Kt/V>1.7. Dialysis dose was calculated from dialysate and 24-hour urine, blood samples from patients encoded in the French Language Peritoneal Dialysis Registry (RDPLF). https://www.rdplf-db.org. Pearson's significance test is used to look for a correlation between the SF-36 subscores of the KDQOL scale and Kt/V. \u0000Fifteen patients (eight men, seven women) with a mean age of 65.93 years were eligible for the study. \u0000Our results did not show a direct relationship between Kt/V and quality of life. There was an existing but weak correlation between the sub-scores \"physical functioning\" and Kt/V as well as between \"role limitation due to physical problems\" and Kt/V. These correlations do not appear to be significant according to Pearson's significance test. The individualization of the treatment does not seem to have a negative impact on the Kt/V and certain dimensions of the KDQOL SF36 score seem to be less altered (social interactions, social support, life in relation with others). Further studies taking into account the limitations of our study are necessary to generalize such a therapeutic approach.","PeriodicalId":366938,"journal":{"name":"Bulletin de la Dialyse à Domicile","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126693104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Imane Houem, Mina Agrou, I. Saidi, N. Ouzeddoun, R. Bayahia, L. Benamar
{"title":"Mineral and bone disorders in peritoneal dialysis","authors":"Imane Houem, Mina Agrou, I. Saidi, N. Ouzeddoun, R. Bayahia, L. Benamar","doi":"10.25796/bdd.v5i1.64613","DOIUrl":"https://doi.org/10.25796/bdd.v5i1.64613","url":null,"abstract":"Introduction \u0000Disorders of mineral and bone metabolism are common in dialysis patients and are responsible for an increased risk of fracture, cardiovascular risk and mortality. The mineral and bone disorder most frequently found in peritoneal dialysis (PD) is adynamic osteopathy. The aim of our work is to describe the mineral and bone profile of patients on peritoneal dialysis, to determine the prevalence of hyperparathyroidism in this population and to identify the risk factors associated with it. \u0000Material and method \u0000This is a cross-sectional study including all our PD patients in whom we analyzed the various clinical, biological, radiological and therapeutic data related to mineral and bone metabolism. \u0000We defined hyperparathyroidism by a parathyroid hormone (PTH) ≥ 600pg/ml and we determined the risk factors by comparing two groups : with and without hyperparathyroidism. \u0000Results \u0000We retained 85 patients whose mean age was 49.18 ± 17.28 years and the sex ratio of 0.77. The seniority in dialysis was 33.31 ± 26.68 months. Median PTH was 668 pg/ml [34-3800] with serum calcium at 87.75±7.52 mg/l, phosphatemia at 54.07±16.69 mg/l and vitamin D at 23.74±11.56 ng/ml. Hyperparathyroidism was found in 60% of patients. \u0000The risk factors for hyperparathyroidism noted in our study are: seniority in PD, high PTH before the start of dialysis, and hyperphosphatemia. The short medical follow-up before dialysis seems to play an important role in the development of secondary hyperparathyroidism. \u0000Conclusion \u0000Hyperparathyroidism is the most frequent mineral and bone disorder in our series. Factors correlated with hyperparathyroidism are length of time on dialysis, hyperphosphatemia and high parathormone levels before the start of dialysis.","PeriodicalId":366938,"journal":{"name":"Bulletin de la Dialyse à Domicile","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132149544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Utilisation de la fistule artério-veineuse en dialyse péritonéale en France (Données RDPLF)","authors":"C. Verger, E. Fabre","doi":"10.25796/bdd.v4i4.63943","DOIUrl":"https://doi.org/10.25796/bdd.v4i4.63943","url":null,"abstract":"Il existe un consensus pour ne pas réaliser systématiquement une fistule artério veineuse (FAV) chez les patients traités par dialyse péritonéale. Nous avons voulu vérifier dans la base de données du Registre de Dialyse Péritonéale de Langue Française (RDPLF), quelles étaient les pratiques en France. \u0000Nous avons sélectionné 4344 personnes de France métropolitaine qui ont cessé leur traitement par dialyse péritonéale entre décembre 2016 et décembre 2021 et qui, avant leur traitement par dialyse péritonéale, n’avaient pas été traitées par hémodialyse ni transplantées. \u0000Uniquement 5,2 % des malades ont eu une FAV en cours de DP, mais 86,7 % ne l’ont pas utilisée. Parmi les malades qui n’avaient pas de FAV, 38 % ont cependant été transférés en hémodialyse, souvent avec un cathéter central. \u0000S’il est probablement important d’avoir un algorithme prévisionnel pour éviter des transferts définitifs en hémodialyse sur cathéter central quand ce transfert peut être planifié, ce rapport supporte l’absence d’intérêt à créer un abord vasculaire systématique en DP, en particulier lorsqu’il y a un projet de greffe rénale.","PeriodicalId":366938,"journal":{"name":"Bulletin de la Dialyse à Domicile","volume":"17 6","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114030344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Peritoneal Dialysis Associated Peritonitis Rate – Validation of a Simplified Formula","authors":"M. Marshall, Gerald P Waters, C. Verger","doi":"10.25796/bdd.v4i4.63443","DOIUrl":"https://doi.org/10.25796/bdd.v4i4.63443","url":null,"abstract":"Peritonitis is the most important therapy-related complication of peritoneal dialysis (PD). Unfortunately, many PD centers around the world do not accurately record peritonitis rate, mainly because they cannot ascertain PD patient time-at-risk from “patient flow” data - that is, calculating PD patient-days from dates when patients start and finish PD. We propose a simplified method of calculating PD peritonitis rate using PD patient time-at-risk from “patient stock” data - - that is, calculating PD patient-days from the number of prevalent PD patients at the center at the start of the year and the corresponding number at the end. We compared gold-standard measurements of annual PD peritonitis rates with simplified ones in the Australia and New Zealand Dialysis and Transplant Registry (ANZDATA) / New Zealand (NZ) PD Registry, and Le Registre de Dialyse Péritonéale de Langue Française et hémodialyse à domicile (the RDPLF). A total of 268 centers from 9 countries with 4311 center-years and 110,185 patient-years of follow-up were modelled. Overall agreement was excellent with a concordance correlation coefficient of 0.978 (95% confidence interval [CI] 0.975-0.980) in ANZDATA / NZ PD Registry, and 0.978 (0.977-0.980) in the RDPLF. There was statistically significant lower agreement for smaller centers in the registries at 0.972 (0.966-0.976) and 0.973 (0.970-0.976) respectively, although the performance of the simplified formula remains clinically sound in even these centers. The simplified method of calculating PD peritonitis rate is accurate, and will allow more centers around the world to measure, report, and work on reducing PD peritonitis rates.","PeriodicalId":366938,"journal":{"name":"Bulletin de la Dialyse à Domicile","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129123849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
K. François, D. De Clerck, T. Robberechts, F. Van Hulle, Stefan Van Cauwelaert, I. Luyten, D. Jacobs-Tulleneers-Thevissen
{"title":"Percutaneous insertion of peritoneal dialysis catheters by the nephrologist (modified Seldinger technique)","authors":"K. François, D. De Clerck, T. Robberechts, F. Van Hulle, Stefan Van Cauwelaert, I. Luyten, D. Jacobs-Tulleneers-Thevissen","doi":"10.25796/bdd.v4i4.63393","DOIUrl":"https://doi.org/10.25796/bdd.v4i4.63393","url":null,"abstract":"A proper functioning access to the peritoneal cavity is the first and foremost requirement to start peritoneal dialysis. Most commonly, peritoneal dialysis catheters are inserted using a surgical approach. Laparoscopic peritoneal dialysis catheter insertion is the recommended surgical technique because it offers to employ advanced adjunctive procedures that minimize the risk of mechanical complications. In patients with low risk of mechanical catheter complications, such as patients without prior history of abdominal surgery or peritonitis, and in patients ineligible for general anesthesia, the percutaneous approach of peritoneal dialysis catheter insertion is an alternative to surgical catheter insertion. Percutaneous insertion of peritoneal dialysis catheters can be performed by a dedicated nephrologist, interventional radiologist, surgeon or nurse practitioner under local anesthesia, either with or without image guidance using ultrasound or fluoroscopy. Several reports show similar catheter function rates, mechanical and infectious complications and catheter survival for percutaneously inserted peritoneal dialysis catheters compared to surgically inserted peritoneal dialysis catheters. This article describes the percutaneous insertion of peritoneal dialysis catheters technique adopted at Universitair Ziekenhuis Brussel since 2015. Our technique is a simple low-tech modified Seldinger procedure performed by the nephrologist and not using fluoroscopy guidance. We describe the excellent outcomes of our percutaneously inserted peritoneal dialysis catheters and offer a practical guide to set up your own percutaneous catheter insertion program.","PeriodicalId":366938,"journal":{"name":"Bulletin de la Dialyse à Domicile","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128968790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Faye, Ndongo Modou, Lemrabott Ahmed Tall, Faye Maria, Keita Niakhaleen, Ba Bacary, Sy Abou, Ndiaye Babacar, Ka El Hadji Fary
{"title":"Évaluation de la performance de la mesure conventionnelle et séquentielle de la pression artérielle en centre chez les patients en dialyse péritonéale à Dakar.","authors":"M. Faye, Ndongo Modou, Lemrabott Ahmed Tall, Faye Maria, Keita Niakhaleen, Ba Bacary, Sy Abou, Ndiaye Babacar, Ka El Hadji Fary","doi":"10.25796/bdd.v4i4.63483","DOIUrl":"https://doi.org/10.25796/bdd.v4i4.63483","url":null,"abstract":"Introduction : L’objectif de cette étude était d’évaluer les performances des mesures conventionnelles (MCPA) et séquentielles (MSPA) de la pression artérielle en prenant la MAPA comme référence. Patients et méthodes : A travers une étude transversale incluant 17 patients suivis dans l’unité de DP de l’Hôpital Aristide Le Dantec, la PA a été mesurée par 3 méthodes : i) une mesure automatisée (OMRON M3 COMFORT) effectué par un personnel de santé dite MCPA (OMRON M3 COMFORTTM) ; ii) la moyenne de 5 mesures automatisées chez un patient isolé dans un box dite MSPA ; iii) la MAPA des 24h avec l’appareil CONTECTM (Germany). L’HTA a été retenue devant une PA supérieure à 130/80 mmHg à la MAPA des 24h. Résultats : L’aire sous la courbe (AUC) de la PAS était similaire (p=0,28) entre la MSPA [AUC, 0,933 ; IC à 95 %, 0,813 – 1,000] et la MCPA [AUC, 0,900 ; IC à 95 %, 0,752 – 1,000]. Concernant la PAD, la MSPA [AUC, 0,858 ; IC à 95 %, 0,638 – 1,000] était similaire (p=1) à la MCPA [AUC, 0,917 ; IC à 95 %, 0,753 – 1,000]. À l’analyse de Bland-Altman, la MCPA surestimait la PAS de 11,65 mmHg et la PAD de 3,94 mmHg. La MSPA quant à elle surestimait la PAS de 6,2 mmHg et la PAD de 4,35 mmHg. Conclusion : La MSPA et la MCPA sont performantes dans le diagnostic de l’HTA ambulatoire chez les patients en dialyse péritonéale à Dakar.","PeriodicalId":366938,"journal":{"name":"Bulletin de la Dialyse à Domicile","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128007094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
O. Develay, M. Rifaat, S. Benarbia, Stephen Caramaro
{"title":"Technique d’implantation chirurgicale des cathéters de dialyse péritonéale. Expérience d’un centre","authors":"O. Develay, M. Rifaat, S. Benarbia, Stephen Caramaro","doi":"10.25796/bdd.v4i4.63213","DOIUrl":"https://doi.org/10.25796/bdd.v4i4.63213","url":null,"abstract":"Alors que la réalisation d'un abord vasculaire est un acte fréquent pour un chirurgien qui travaille avec un centre d'hémodialyse, l'implantation d'un cathéter de dialyse péritonéale s'avère souvent plus rare en raison d'un nombre inférieur de patients pris en charge en dialyse péritonéale (DP). Certains centres vont parfois avoir moins de dix nouveaux patients par an traités par DP ; lorsque un chirurgien débute cette activité, il est important que sa technique d'implantation du cathéter de DP soit d'emblée maitrisée pour permette au néphrologue de prendre en charge son patient dans les meilleures conditions avec un cathéter de DP fonctionnel quelle que soit la modalité de DP. L'implantation en ambulatoire, sous anesthésie locale ou générale, permet de limiter la durée d'hospitalisation. L'utilisation de cathéters en col de cygne à extrémité droite, un trajet pre péritonéale tangentiel, la vérification fonctionnelle per opératoire terminée par une introduction de 100 ml de dialysat, une première réfection du pansement et une première utilisation au dixième jour permettent dans notre expérience d'avoir un cathéter fonctionnel dans 93,5 % des cas.","PeriodicalId":366938,"journal":{"name":"Bulletin de la Dialyse à Domicile","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127729654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Traduction des Recommandations de l'ISPD pour l'évaluation du dysfonctionnement de la membrane péritonéale chez l'adulte","authors":"C. Verger, M. Dratwa","doi":"10.25796/bdd.v4i3.62673","DOIUrl":"https://doi.org/10.25796/bdd.v4i3.62673","url":null,"abstract":"Informations concernant cette traductionDans le cadre d’un accord de partenariat entre l’ISPD et le RDPLF, le RDPLF est le traducteur français officiel des recommandations de l’ISPD. La traduction ne donne lieu à aucune compensation financière de la part de chaque société et le RDPLF s’est engagé à traduire fidèlement le texte original sous la responsabilité de deux néphrologues connus pour leur expertise dans le domaine. Avant publication le texte a été soumis à l’accord de l’ISPD. La traduction est disponible sur le site de l’ISPD et dans le Bulletin de la Dialyse à Domicile.Le texte est, comme l’original, libremement téléchargeable sous licence copyright CC By 4.0https://creativecommons.org/licenses/by/4.0/Cette traduction est destinée à aider les professionnels de la communauté francophone à prendre connaissance des recommandations de l’ISPD dans leur langue maternelle. \u0000Toute référence dans un article doit se faire au texte original en accès libre :Peritoneal Dialysis International https://doi.org/10.1177/0896860820982218 \u0000Dans les articles rédigés pour des revues françaises, conserver la référence à la version originale anglaise ci dessus, mais ajouter «version française https://doi.org/10.25796/bdd.v4i3.62673\"»TraducteursDr Christian Verger, néphrologue, président du RDPLFRDPLF, 30 rue Sere Depoin, 95300 Pontoise – FranceProfesseur Max Dratwa, néphrologueHôpital Universitaire Brugmann – Bruxelles – Belgique","PeriodicalId":366938,"journal":{"name":"Bulletin de la Dialyse à Domicile","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116853522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}