In:
Therapeutic Apheresis and Dialysis, Wiley
Kurzfassung:
Ultrasound has been found to facilitate early identification of peritonitis in patients undergoing continuous ambulatory peritoneal dialysis (CAPD). Methods A retrospective analysis was carried out to evaluate the effectiveness of ultrasonography‐guided removal of the Tenckhoff catheter in reducing complications like a shift to hemodialysis or death in CAPD patients. Results The “peritonitis rescue plan” supported timely decision‐making for the removal of the infected catheter and resulted in a lower peritonitis episode per patient per month ratio (from 1:36 to 1:122) in 2021, a lower death rate (from 19% to 6.6%) and lower incidences of shifts to hemodialysis (from 2%–9% to 0%) as compared to that before the implementation of the plan in 2019. Conclusion The implementation of the “peritonitis rescue plan” and the removal of the infected catheter within 3 days of peritonitis being detected was successful in improving the standard of care for patients undergoing CAPD.
Materialart:
Online-Ressource
ISSN:
1744-9979
,
1744-9987
DOI:
10.1111/1744-9987.14042
Sprache:
Englisch
Verlag:
Wiley
Publikationsdatum:
2023
ZDB Id:
2010864-3