|
" Comparing the effect of dressing versus no- dressing on exit site infection and peritonitis in chronic ambulatory peritoneal dialysis patients "
Mahdieh Ahmadnia
; Shahram Taheri, Shiva Seirafian
; Mojgan Mortazavi
| center
|
:
|
Isfahan University of Medical Sciences
|
| Document Type
|
:
|
Latin Dissertation
|
| Language of Document
|
:
|
English
|
| Record Number
|
:
|
103629
|
| Doc. No
|
:
|
T15452
|
| Call number
|
:
|
WJ378,A286c,2014
|
| Main Entry
|
:
|
Ahmadnia , Mahdieh
|
| Title & Author
|
:
|
Comparing the effect of dressing versus no- dressing on exit site infection and peritonitis in chronic ambulatory peritoneal dialysis patientsMahdieh Ahmadnia
|
| College
|
:
|
Schools, Medical
|
| Date
|
:
|
, 2014
|
| Degree
|
:
|
Internal Medicine, Speciality
|
| Page No
|
:
|
20 p.: tab.
|
| Note
|
:
|
This thesis is a research project with project ID: 290320
|
| Abstract
|
:
|
Introduction: Peritonitis and exit site (ES) infection are two main complications of peritoneal dialysis (PD). There are some controversies regard to preventive strategies for ES care. bjective: Comparing peritonitis and ES infection rates in patients with and without dressing. Methods: This historical cohort study carried out on 72 patients under CAPD treatment, 54 with dressing vs.18 patients without ressing, followed from October 1st, 2010 to March 31st, 2011. In this period peritonitis and exit site infection were compared between two groups. Results: Seventeen episodes of ES infection occurred in 12 patients in dressing group but no case was seen in no-dressing group (p=0.02). Twenty one episodes of peritonitis occurred in 15 patients in both groups (one episode every 20.6 patient-months). In no-dressing group two episodes occurred in only one patient (one episode every 54 patient-months), and in dressing group, 19 episode in 14 patients (one episode every 17.1 patient-months) (P=0.03). Peritonitis was significantly more frequent in male gender vs. female in overall patients (38 percent vs. 14 percent, p=0.025) and in dressing group (52 percent vs. 15 percent, p=0.003). In dressing group, peritonitis was more frequent in diabetics vs. non-diabetics (48 percent vs.11 percent, p=0.01), and rural vs. urban settled patients (80 percent vs. 24 percent p=0.023). According to backward likelihood rate multiple logistic regression analysis, odds ratio for developing peritonitis was 9.4 in dressing group (95 percent CI=1.05-84.4; p=0.045), and 4.4 in men (95 percent CI=1.26-15.19; p=0.02). Conclusion: According to this study chronic ES care without dressing was associated with lower risk of peritonitis and ES infection
|
| Descriptor
|
:
|
Peritoneal Dialysis, Continuous Ambulatory
|
|
|
:
|
Bandages
|
|
|
:
|
Ambulatory Care
|
|
|
:
|
Infection
|
| Added Entry
|
:
|
TaheriShahram, Supervisor
|
|
|
:
|
SeirafianShiva, Supervisor
|
|
|
:
|
Mortazavi Mojgan, advisor
|
| Translated Title Supplied by Cataloguer
|
:
|
مقایسه تاثیر دو نوع مراقبت با و بدون پانسمان از محل خروج کاتتر دیالیز صفاقی سرپایی مزمن بر شیوع عفونت محل خروج کاتتر و پریتونیت در بیماران مرکز آموزشی درمانی الزهرا ( س) )
|
| |