Bulletin de la Dialyse à Domicile最新文献_第8页

Management of fungal peritonitis : a Moroccan single peritoneal dialysis unit experience 真菌性腹膜炎的管理:摩洛哥单一腹膜透析单位的经验

Bulletin de la Dialyse à Domicile Pub Date : 2019-06-15 DOI: 10.25796/BDD.V2I2.19413

M. H. Koné, T. Bouattar, I. Fares, M. Benbella, N. Ouzeddoun, R. Bayahia, L. Benamar

{"title":"Management of fungal peritonitis : a Moroccan single peritoneal dialysis unit experience","authors":"M. H. Koné, T. Bouattar, I. Fares, M. Benbella, N. Ouzeddoun, R. Bayahia, L. Benamar","doi":"10.25796/BDD.V2I2.19413","DOIUrl":"https://doi.org/10.25796/BDD.V2I2.19413","url":null,"abstract":"Introduction: Fungal peritonitis (PF) in peritoneal dialysis (PD) is a serious infection that involves the functional prognosis of the peritoneum and the patient's vital prognosis. It must benefit from a fast handling but nevertheless not very codified. Each center therefore ensures an individual care of its patients. \u0000Materiel and method: The purpose of our study is to describe our 10-year experience through our patients who presented FP. We performed a descriptive retrospective study of FP cases documented in the PD unit. \u0000Results: the prevalence of FP was 5,1%, which represent 9 cases. Predominant clinical signs were dialysat turbidity and abdominal pain. FP was primitive for 3 patients. The antifungal therapy used was Fluconazole, which was combined with an increased number of peritoneal exchanges. DP catheter ablation was done for 8 patients with an average delay of 5.5 days. The overall outcome was favorable and 3 patients continued PD. No death or encapsulating peritonitis was a consequence of FP. \u0000Discussion and conclusion: FP is an infectious complication in PD. Its’ death rate is elevated; dropping-out of PD rate too is elevated. The favorable evolution of our patients that stayed in PD let us think that it may be possible to maintain more patients in PD after FP.","PeriodicalId":366938,"journal":{"name":"Bulletin de la Dialyse à Domicile","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123049718","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

Growth and nutritional management of children on peritoneal dialysis 腹膜透析儿童的生长和营养管理

Bulletin de la Dialyse à Domicile Pub Date : 2019-06-14 DOI: 10.25796/bdd.v2i2.20313

A. Zaloszyc, S. Krid, B. Ranchin

引用次数: 0

Home hemodialysis with a central venous catheter 家庭血液透析中心静脉导管

Bulletin de la Dialyse à Domicile Pub Date : 2019-04-10 DOI: 10.25796/BDD.V2I1.19133

Marion Gallot-Grelier, E. Vincent, N. Target

引用次数: 0

La montagne dans le sang 血中的山

Bulletin de la Dialyse à Domicile Pub Date : 2019-04-10 DOI: 10.25796/BDD.V2I1.19153

F. Huré

{"title":"La montagne dans le sang","authors":"F. Huré","doi":"10.25796/BDD.V2I1.19153","DOIUrl":"https://doi.org/10.25796/BDD.V2I1.19153","url":null,"abstract":"En France, près de 3 millions de personnes sont touchées par les maladies du rein. L’insuffisance rénale chronique touche environ 80 000 personnes. Sur ces 80 000 per¬sonnes touchées, 44 % d’entre elles bénéficient d’une greffe de rein, et 56 % sont dialysées. Sur les 48 000 dialysés, moins de 0.6 % sont en dialyse longue nocturne (HDLN) et seulement 15 % des dialysés actifs travaillent. A contra¬rio, à Rennes, sur 36 patients en HDLN, le pourcentage de dialysés actifs en situation d’emploi dépasse les 60 %. Fabrice Huré est l’un d’entre eux. Depuis l’âge de 20 ans, Fabrice est dialysé. Après une tentative de greffe qui est rejetée, Fabrice se rend à l’évidence : il est hyperimmunisé et devra être confronté aux dialyses pendant le reste de sa vie. Fabrice va donc commencer à construire une nouvelle vie en tant que malade et la dialyse longue nocturne va jouer un grand rôle dans l’amélioration de sa qualité de vie. C’est pourquoi, étant moins fatigué et plus en forme physiquement, il va essayer de relever des défis sportifs hors-normes pour un dialysé, notamment le trail de Bourbon de 112 km à la Réunion. Souhaitant mettre en avant son parcours et les bienfaits de la dialyse longue nocturne, c’est comme ça que le film documentaire « La Montagne dans le Sang » est né. \u0000Cet article est mis à disposition selon les termes de la Licence Creative Commons Attribution 4.0 International.","PeriodicalId":366938,"journal":{"name":"Bulletin de la Dialyse à Domicile","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121205434","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

Dialyse longue nocturne à domicile à bas débit de dialysat. 夜间长时间在家透析，低透析率。

Bulletin de la Dialyse à Domicile Pub Date : 2019-04-10 DOI: 10.25796/BDD.V2I1.19143

C. Picault

{"title":"Dialyse longue nocturne à domicile à bas débit de dialysat.","authors":"C. Picault","doi":"10.25796/BDD.V2I1.19143","DOIUrl":"https://doi.org/10.25796/BDD.V2I1.19143","url":null,"abstract":"J’ai 49 ans et je suis dialysée depuis que j’ai 36 ans, soit 13 ans de dialyse. \u0000J’écris ce témoignage en espérant qu’il trouve une certaine universalité et qu’il fasse écho bien qu’étant le récit d’une expérience de vie singulière. \u0000Le cœur du témoignage aborde essentiellement les quatre types de dialyses dont j’ai bénéficié. \u0000Je relate les points négatifs et les plus-values de chaque type de traitement. Je ne développe pas le sujet de ma double greffe rein/pancréas en 2003 qui n’aura tenu qu’une année pour le pancréas et un peu plus pour le rein. Désormais en hyper-immunité, je suis à nouveau en attente de greffe mais consciente de la faible probabilité de trouver un greffon compatible. \u0000C’est maintenant qu’il faut vivre en s’accommodant du traitement sous dialyse. Se préparer à une greffe tout en vivant pleinement le présent.C’est « mon petit témoignage », petit par rapport à ce que représente ma modeste expérience de dialysée, petit par rapport à l’histoire de chacun, à nos différences de vies et d’envies. \u0000Cet article est mis à disposition selon les termes de la Licence Creative Commons Attribution 4.0 International.","PeriodicalId":366938,"journal":{"name":"Bulletin de la Dialyse à Domicile","volume":"152 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121611494","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

Case report about three patients affected by autosomal dominant polycystic kidney disease who started peritoneal dialysis after nephrectomy and simultaneous peritoneal catheter implantation. 3例常染色体显性多囊肾病患者在肾切除术并同时植入腹膜导尿管后开始腹膜透析。

Bulletin de la Dialyse à Domicile Pub Date : 2019-04-10 DOI: 10.25796/BDD.V2I1.19123

L. Lelandais, C. Roubiou, C. Courivaud, G. Guichard, J. Barkatz, Catherine Bressson-Vautrin

{"title":"Case report about three patients affected by autosomal dominant polycystic kidney disease who started peritoneal dialysis after nephrectomy and simultaneous peritoneal catheter implantation.","authors":"L. Lelandais, C. Roubiou, C. Courivaud, G. Guichard, J. Barkatz, Catherine Bressson-Vautrin","doi":"10.25796/BDD.V2I1.19123","DOIUrl":"https://doi.org/10.25796/BDD.V2I1.19123","url":null,"abstract":"Peritoneal dialysis (PD) initiation can be difficult in patients developing end stage renal disease (ESRD) due to autosomal dominant polycystic kidney disease (ADPKD) when these patients need nephrectomy to prepare kidney transplantation. Here we describe the cases of 3 adult patients followed in the nephrology ward of Besançon in 2017 and 2018 for ESRD due to ADPKD and who began peritoneal dialysis in the post-operative period following nephrectomy with simultaneous peritoneal catheter implantation. The data were collected retrospectively.Among the three patients included, all began PD during the first month after being operated on, without requiring hemodialysis. Mean delay between nephrectomy and PD start was 8.7 days. The renal-replacement therapy was begun following a continuous ambulatory PD (CAPD) technique with small volumes (1.5L), then was carried on with automated PD (APD) technique with small volumes. The mean delay between nephrectomy and the establishment of a standard APD program was 24.3 days. No major complications were reported at the establishment of PD, particularly there were no dialysate leaks. On a long term view, technical survival was good since 2 patients are still treated by PD whereas one patient has been transplanted. Adequacy criteria were satisfactory. To conclude, our group of 3 patients shows very interesting results about PD start in the post-operative period after nephrectomy with simultaneous PD catheter implantation in polycystic patients.","PeriodicalId":366938,"journal":{"name":"Bulletin de la Dialyse à Domicile","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129393956","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

Revue de presse des jeunes néphrologues : 1er trimestre 2019 de la Dialyse à Domicile 年轻肾病学家新闻评论:2019年第一季度家庭透析

Bulletin de la Dialyse à Domicile Pub Date : 2019-04-10 DOI: 10.25796/bdd.v2i1.19033

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

引用次数: 0

Long nocturnal home hemodialysis : An old therapy brought up to date 长夜间家庭血液透析:一种古老的治疗方法

Bulletin de la Dialyse à Domicile Pub Date : 2019-04-10 DOI: 10.25796/BDD.V2I1.19113

É. Laruelle

引用次数: 0

New peritoneal dialysates, for which benefits ? 新的腹膜透析，有哪些好处?

Bulletin de la Dialyse à Domicile Pub Date : 2018-12-30 DOI: 10.25796/BDD.V1I3.63

F. Vrtovsnik

{"title":"New peritoneal dialysates, for which benefits ?","authors":"F. Vrtovsnik","doi":"10.25796/BDD.V1I3.63","DOIUrl":"https://doi.org/10.25796/BDD.V1I3.63","url":null,"abstract":"The ideal peritoneal dialysis solution should allow efficient withdrawal of waste products of the metabolism and water and solutes equilibrium with minimal side effects for the patient and the peritoneal membrane. Glucose degradation products (GDP) resulting from the manufacturing process play a major toxic role and new biocompatible PD solutions with low GDP content and a more physiological bicarbonate or bicarbonate/lactate buffer have brought a clear benefit in experimental studies; however, in clinical cohorts and meta-analysis, the benefits of these solutions appear limited to better preservation of residual renal function and of diuresis. Glucose is the principal osmotic agent although hypertonic glucose solutions have a deleterious effect on PD, and their use should be restrained. Dialysate concentrations of sodium, calcium and magnesium are close to plasma; their diffusive transport is thus limited and their net peritoneal transport mainly depends on the ultrafiltration volume. A dialysate calcium concentration above 1.25 mmol/l generates a calcium load which may contribute to the high prevalence of adynamic bone disease in PD patients; this should be avoided. Low sodium dialysis solutions experimentally improve sodium diffusive transport and extraction in PD patients; the clinical benefit of this approach has to be confirmed.","PeriodicalId":366938,"journal":{"name":"Bulletin de la Dialyse à Domicile","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122369431","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

Qu’est-ce qui influence le choix de la dialyse péritonéale chez les patients ? une étude qualitative. 是什么影响了患者腹膜透析的选择?定性研究。

Bulletin de la Dialyse à Domicile Pub Date : 2018-12-30 DOI: 10.25796/BDD.V1I3.67

Abdou Simon Senghor

{"title":"Qu’est-ce qui influence le choix de la dialyse péritonéale chez les patients ? une étude qualitative.","authors":"Abdou Simon Senghor","doi":"10.25796/BDD.V1I3.67","DOIUrl":"https://doi.org/10.25796/BDD.V1I3.67","url":null,"abstract":"L’objectif de cette étude était d’identifier les facteurs qui influencent le choix de la dialyse péritonéale (DP) chez les patients insuffisants rénaux, dans un centre de dialyse en France offrant un dispositif d’éducation thérapeutique du patient (ETP) aux patients en pré-dialyse. Pour ce faire, nous avons mené trente six entretiens semi-directifs avec des patients, des médecins de l’équipe d’ETP et un cadre de santé. Nous avons également observé dix séances d’ETP afin d’explorer la nature des interactions entre les patients, leurs accompagnants et l’équipe soignante. Nos résultats révèlent que les facteurs qui poussent les patients à choisir la DP sont l’influence des proches, les préférences personnelles, l’influence des médecins, l’ETP à travers l’information transmise par les éducatrices. En plus de l’influence de ces facteurs dans la construction du choix des patients à s’orienter vers une méthode de dialyse, il pourrait être encore plus productif d’intégrer des patients ressources dans les dispositifs d’ETP grâce au partage de leur expérience de patients traités en dialyse avec les patients en pré-dialyse. \u0000 \u0000Cette revue est mise à disposition selon les termes de la Licence Creative Commons Attribution 4.0 International.","PeriodicalId":366938,"journal":{"name":"Bulletin de la Dialyse à Domicile","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115378924","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