Abstract:
BACKGROUND:Peritoneal dialysis (PD) related infections are associated with technique failure and mortality. The aim of this multicentre study was to examine epidemiology, treatment and outcomes of PD-related infections in Poland as well as practice patterns for prevention of these complications in the context of current ISPD recommendations. METHODS:A survey on PD practices in relation to infectious complications was conducted in 11 large Polish PD centres. Epidemiology of peritonitis and exit-site infections (ESI) was examined in all patients treated in these units over a 2 year period. RESULTS:The study included data on 559 PD patients with 62.4% on CAPD. Practice patterns for prevention of infectious complications are presented. The rate of peritonitis was 0.29 episodes per year at risk, with Gram positive microorganisms responsible for more than 50% of infections and 85.8% effectively treated. Diagnosis and treatment followed ISPD guidelines however most units did not provide an anti-fungal prophylaxis. Although neither of the centres reported routine topical mupirocin on catheter exit-site, the rate of ESI was low (0.1 episodes per year at risk), with Staphylococcus aureus as most common pathogen and full recovery in 78.3% of cases. CONCLUSION:The study shows rewarding outcomes in prevention and treatment of PD-associated infections, mainly due to a thorough compliance with the current ISPD guidelines, although some deviations from the recommendations in terms of practice patterns have been observed. More studies are needed in large numbers of patients to differentiate the importance of specific recommendations and further support the guidelines.
journal_name
Int Urol Nephroljournal_title
International urology and nephrologyauthors
Lichodziejewska-Niemierko M,Chmielewski M,Wojtaszek E,Suchowierska E,Gołembiewska E,Grajewska M,Matuszkiewicz-Rowińska J,Naumnik B,Sulikowska B,Niemczyk S,Kłak R,Mosakowska M,Jagodziński P,Marcykiewicz B,Kalita K,Krawczyk Rdoi
10.1007/s11255-018-2057-9subject
Has Abstractpub_date
2019-02-01 00:00:00pages
335-341issue
2eissn
0301-1623issn
1573-2584pii
10.1007/s11255-018-2057-9journal_volume
51pub_type
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journal_title:International urology and nephrology
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abstract:OBJECTIVES:PSA is regarded as the best method in the follow-up of prostate carcinoma. After radical vesiculo-prostatectomy the prostate carcinoma seldom recurs at zero or nearly zero PSA levels. METHODS:The authors have used PSA since 1989 and they have found only one case where metastasis in the tibia came without an...
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