Bulletin de la Dialyse à Domicile最新文献_第7页

Exit site infection in peritoneal dialysis : predictive factors for adverse outcome 腹膜透析出口部位感染:不良结局的预测因素

Bulletin de la Dialyse à Domicile Pub Date : 2019-09-14 DOI: 10.25796/BDD.V2I3.21333

F. Silva, J. Tavares, S. Correia, C. Freitas, Olívia Santos, M. Carvalho, J. Malheiro, A. Cabrita, A. Rodrigues

{"title":"Exit site infection in peritoneal dialysis : predictive factors for adverse outcome","authors":"F. Silva, J. Tavares, S. Correia, C. Freitas, Olívia Santos, M. Carvalho, J. Malheiro, A. Cabrita, A. Rodrigues","doi":"10.25796/BDD.V2I3.21333","DOIUrl":"https://doi.org/10.25796/BDD.V2I3.21333","url":null,"abstract":"Infection-related complications in patients on peritoneal dialysis (PD) is a leading complication. \u0000Our aim was to evaluate the type and natural course of ESI events in a cohort of PD treated in last decade of our PD program. \u0000Registry data of ESI events (n=126, in 74 patients) were retrieved. ESI protocols followed standard international guidelines. A systematic quality control is performed. \u0000 The median follow-up was 29.1 (14.0-47.4) months. In this population the adverse outcomes of TI rate and peritonitis rate was 0.12 and 0.13 patient/year, respectively. Male sex (0.048), older age (0.007) and Staphylococcus aureus (SA) agent (0.006) were predictive of TI while non-optional PD and lower levels of albumin were predictive of peritonitis. After grouping the ESI events according to the date of the occurrence of infection (group 1: 2008 to 2012, group 2: 2013 to 2017 and group 3: 2018) a substantial increase of TI in 2018 was evident (P <0.001 when comparing group 3 vs 1 and 0.005 when comparing group 2 and 3). When ESI occurs simultaneous with TI, the probability of not reaching cure is 65%. Drop-out occurred in 50% of ESI without peritonitis vs 86% with peritonitis (P <0.001). SA is the microorganism most implicated in the failure to heal (P 0.002) and drop-out (P 0.010). \u0000In spite of a number of efforts to reduce ESI, a regular audit still point to the need for protocols review in order to avoid adverse outcomes. Focused training of patients is mandatory but also prophylaxis and antibiotic protocols deserve improvement.","PeriodicalId":366938,"journal":{"name":"Bulletin de la Dialyse à Domicile","volume":"170 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133063813","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}

引用次数: 0

A Nurse mailing list serving the Dialysis at Home community 为家庭透析社区服务的护士邮件列表

Bulletin de la Dialyse à Domicile Pub Date : 2019-09-13 DOI: 10.25796/BDD.V2I3.21353

M. Padernoz

引用次数: 0

History of peritoneal dialysis in France 法国腹膜透析史

Bulletin de la Dialyse à Domicile Pub Date : 2019-09-13 DOI: 10.25796/BDD.V2I3.22103

C. Verger, J. Chanliau

引用次数: 0

What do we learn about the “Anemia Module” of the French language Peritoneal Dialysis ? Interest and Results 关于法语腹膜透析的“贫血模块”，我们了解到什么?兴趣和结果

Bulletin de la Dialyse à Domicile Pub Date : 2019-09-06 DOI: 10.25796/bdd.v2i3.20983

B. Issad, M. Griuncelli, C. Verger, G. Rostoker

{"title":"What do we learn about the “Anemia Module” of the French language Peritoneal Dialysis ? Interest and Results","authors":"B. Issad, M. Griuncelli, C. Verger, G. Rostoker","doi":"10.25796/bdd.v2i3.20983","DOIUrl":"https://doi.org/10.25796/bdd.v2i3.20983","url":null,"abstract":"Background: Anemia is commonly observed in patients with chronic kidney disease (CKD) as soon as the glomerular filtration rate falls below than 30 ml/min. CKD patients frequently have iron deficiency. The use of both erythropoiesis-stimulating agents (ESA) and iron therapy is the backbone of anemia management in CKD. For this reason, an adequate iron supply is mandatory to achieve the optimal therapeutic benefit of erythropoiesis stimulating agents (ESAs). Many groups agree that anemia in peritoneal dialysis (PD) patients is less severe than in hemodialysis (HD) patients and that there are important differences in treatment practices for anemia between PD and HD patients. \u0000Methods: Analysis of the Anemia module of the French Language Peritoneal Dialysis Registry (RDPLF) register from the database set up in 2005 with a study of the period 2010-2017. \u0000Results: Data from 568 patients who participated in the Anemia module were analysed during the 2010-2017 follow-up period. Their median age were 71 years, 42% were female, median dialysis vintage was 13 months, 40,5% of patients had diabetes mellitus, 74% of patients were treated with ESA, 23% were on oral iron and only 11% have received intravenous iron. In terms of biological assessment, the average hemoglobin level was close to 12 g/dl and median CRP was close to 5 mg/l. For the iron balance, ferritin reached an average level of 270 µg/l in 2013 and stabilized in 2017 at 200 µg/l. The transferrin saturation coefficient always fluctuated between 23 % and 25 % from year 2010 to year 2017. \u0000Conclusion: The results of the Anemia module of RDPLF register appear to be in line with the target values of the ERA-EDTA latest European guideline on anemia (ERBP 2013) and show the low use of intravenous iron in PD (usually as second line therapy).","PeriodicalId":366938,"journal":{"name":"Bulletin de la Dialyse à Domicile","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129502251","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}

引用次数: 4

Introduction à la data visualisation sous R, avec l’add in Esquisse 介绍R下的数据可视化，在Esquisse中添加

Bulletin de la Dialyse à Domicile Pub Date : 2019-08-17 DOI: 10.25796/bdd.v2i3.21313

Claire Della Vedova

引用次数: 0

Peritoneal catheter infections : data from the French language peritoneal dialysis registry (RDPLF), risk factors 腹膜导管感染:来自法语腹膜透析登记(RDPLF)的数据，危险因素

Bulletin de la Dialyse à Domicile Pub Date : 2019-08-13 DOI: 10.25796/BDD.V2I3.21383

I. Vernier, E. Fabre, M. Dratwa, C. Verger

{"title":"Peritoneal catheter infections : data from the French language peritoneal dialysis registry (RDPLF), risk factors","authors":"I. Vernier, E. Fabre, M. Dratwa, C. Verger","doi":"10.25796/BDD.V2I3.21383","DOIUrl":"https://doi.org/10.25796/BDD.V2I3.21383","url":null,"abstract":"Peritoneal catheter infections : data from the French language peritoneal dialysis registry (RDPLF), risk factors \u0000The French Language Peritoneal Dialysis Registry (RDPLF) record since 1997 all data dealing with peritoneal catheter insertion and follow up. \u0000The aim of this study is to analyze catheter infections on 10801 catheters in 144 centres from January 1, 1997 and December 31, 2018. \u0000Infections are more common in the first month and 50% occur before the tenth month. The risk of infection increases in case of wall hematoma, initial fluid leakage, and obesity. It decreases with the use of prophylactic antibiotics at the time of catheter insertion, with experienced operator, if the first dressing is delayed for 7 days, and with mupirocin as exit-site prophylaxis. \u0000During last two decades the percentage of Staphylococcus aureus infections has decreased, whereas the proportion of Pseudomonas, Corynebacterium and other Gram + cocci increased. \u0000The incidence of catheter infections is low compared to literature data: it decreased to 0.16 episodes per year for the 2013-2017 period. \u0000Adherence to ISPD guidelines: preoperative antibioprophylaxis is the most followed guideline (70.7% of catheter implantations in 2018). Local antibioprophylaxis concerns only 15.6% of catheters, and remains concentrated in a few centres ; mupirocin is the most frequently used agent. Screening for nasal carriage of S. aureus is performed in only 42% of cases. \u0000The catheter section of the RDPLF has allowed the follow-up of clinical practices incidence of infections and ecology for 21 years, both at the national and center level Our study confirms a wide variability in clinical practices, compared to ISPD guidelines.","PeriodicalId":366938,"journal":{"name":"Bulletin de la Dialyse à Domicile","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126615385","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}

引用次数: 3

Créer et maintenir un accès péritonéal optimal chez les patients adultes : mise à jour 2019 在成人患者中创建和维持最佳腹膜通路:2019年更新

Bulletin de la Dialyse à Domicile Pub Date : 2019-06-16 DOI: 10.25796/BDD.V2I2.20503

M. Dratwa, C. Verger

{"title":"Créer et maintenir un accès péritonéal optimal chez les patients adultes : mise à jour 2019","authors":"M. Dratwa, C. Verger","doi":"10.25796/BDD.V2I2.20503","DOIUrl":"https://doi.org/10.25796/BDD.V2I2.20503","url":null,"abstract":"En avril 2019 la Société Internationale de Dialyse Péritonéale a publié en \"open access\" ses dernières recommandations pour créer et maintenir un abord péritonéal optimal chez les patients adultes. Ces recommandations sont un guide important pour les équipes médicales, infirmières et chirurgicales de tous les pays. Afin d'assurer la meilleure diffusion possible auprès des francophones qui se sentent plus à l'aise avec un texte dans leur langue maternelle, le Registre de Dialyse Péritonéale de Langue Française a assuré la traduction de ce texte. Pour toute référence dans une publication, il est indispensable que seul le texte original qui soit cité :ISPD Guidelines/recommendationsCreating and maintaining optimal peritoneal dialysis access in the adult patient : 2019 update.John H. Crabtree et al. Peritoneal Dialysis International. https://doi.org/10.3747/pdi.2018.00232Au nom de la communauté néphrologique francophone nous remercions chaleureusement l'ISPD de nous avoir accordé l'autorisation de réaliser cette traduction. \u0000Cette traduction adhère au copyright de la version originale anglaise. \u0000Ce(tte) œuvre est mise à disposition selon les termes de la Licence Creative Commons Attribution - Pas d'Utilisation Commerciale - Pas de Modification 4.0 International.","PeriodicalId":366938,"journal":{"name":"Bulletin de la Dialyse à Domicile","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125123826","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}

引用次数: 2

Revue de presse des jeunes néphrologues : 2e trimestre 2019 de la Dialyse à Domicile 年轻肾病学家新闻评论:2019年第二季度家庭透析

Bulletin de la Dialyse à Domicile Pub Date : 2019-06-16 DOI: 10.25796/BDD.V2I2.20553

G. Seret, L. Vrigneaud, S. Bataille, O. Carceles, M. Gosselin, A. Lanot, F. Lavainne, Julie Beaume, C. Nodimar

引用次数: 0

Introduction à l’analyse de données avec le logiciel R 介绍R软件的数据分析

Bulletin de la Dialyse à Domicile Pub Date : 2019-06-16 DOI: 10.25796/BDD.V2I2.20513

Claire Della Vedova

{"title":"Introduction à l’analyse de données avec le logiciel R","authors":"Claire Della Vedova","doi":"10.25796/BDD.V2I2.20513","DOIUrl":"https://doi.org/10.25796/BDD.V2I2.20513","url":null,"abstract":"Le RDPLF a pour but principal d’être une aide pour permettre aux équipes de dialyse à domicile d’évaluer leurs pratiques cliniques et également conduire des études à partir d’exports anonymisés des données qu’elles saisissent. Toute évaluation ou étude à partir de données biologiques ou cliniques nécessite le recours à des calculs statistiques. Si les modèles complexes relèvent du spécialiste, nombre de calculs de base, tels que moyenne, médiane, etc.. sont à la portée de tous moyennant un minimum effort. Il existe un logiciel gratuit, «R», extrèmement puissant, qu’il est facile d’installer sur tout ordinateur et qui permet les calculs les plus simples comme les plus compliqués en fonction de ses compétences. \u0000Nous avons pensé que les lecteurs du BDD, infirmiers et infirmières comme médecins seraient intéressés à suivre une formation de base qui leur donnera l’autonomie pour des études simples ou compliquées qu’ils ou elles souhaiteraient mener. Le RDPLF se tient par ailleurs à leur disposition pour leur adresser tout fichier d’export anonymisé. \u0000Nous débutons avec ce numéro une série d’articles rédigée par Claire Della Vedova que nous remercions vivement pour l’aide apportée. \u0000Claire est Ingénieure en biostatistique / data analyste, Elle utilise quotidiennement le logiciel R pour analyser des données. Elle a travaillé pendant plus de 15 ans dans les domaines de l’environnement et de la santé, et a formé de nombreux étudiants et chercheurs à l’utilisation de R. Elle anime depuis novembre 2017 le blog Statistique et Logiciel R dont le but est d’aider les débutants à mieux appréhender les méthodes statistiques classiques et à utiliser le logiciel R plus efficacement, notamment au travers de tutoriels : https://statistique-et-logiciel-r.com/. \u0000Ce premier article est réservé à l’instatallation du logiciel gratuit R.","PeriodicalId":366938,"journal":{"name":"Bulletin de la Dialyse à Domicile","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128221012","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}

引用次数: 0

Comment faire accepter un résumé ou abstract dans un congrès. 如何让摘要或摘要在会议上被接受。

Bulletin de la Dialyse à Domicile Pub Date : 2019-06-15 DOI: 10.25796/BDD.V2I2.20333

A. Lanot, C. Verger

引用次数: 0