Clinical features and risk factors of catheter removal among 1062 episodes of peritoneal dialysis‐associated peritonitis: A multicenter 7‐year study. Issue 3 (14th December 2022)

• Record Type: Journal Article
• Authors: Liu, Shichen; Yang, Liming; Zhu, Xueyan; Zhang, Xiaoxuan; Meng, Lingfei; Li, Xinyang; Zhao, Jing; Zhuang, Xiaohua; Cui, Wenpeng
• Is Part Of: Therapeutic apheresis and dialysis. Volume 27:Issue 3(2023)
• Page Start: 540
• Page End: 551
• Publication Date: 2022-12-14
• Subjects: catheter removal -- peritoneal dialysis -- peritonitis -- risk factors; Hemapheresis -- Periodicals; Dialysis -- Periodicals; Blood Component Removal -- Periodicals; Renal Dialysis -- Periodicals; Hémaphérèse -- Périodiques; Dialyse -- Périodiques; Sang -- Collecte et conservation -- Périodiques; 616
• DOI: 10.1111/1744-9987.13956
• Languages: English
• ISSNs: 1744-9979

Abstract

Abstract: Introduction: Studies focusing on catheter removal and the pathogenic spectrum of peritoneal dialysis‐associated peritonitis (PDAP) need to be updated. Methods: Data were collected from four peritoneal dialysis (PD) centers. Peritonitis rates were compared using Poisson regression and Logistic regression was used to examine the risk factors for catheter removal. Results: The PD duration (odds ratio [OR], 1.021; 95% confidence interval [CI], 1.010–1.032), number of previous PDAP episodes (OR, 1.267; 95% CI, 1.039–1.545), dialysate white cell count >100 × 10 6 /L on Day 5 of PDAP (OR, 6.088; 95% CI, 3.277–11.312), Pseudomonas aeruginosa (OR, 4.122; 95% CI, 1.071–15.874) and polymicrobial infections (OR, 3.257; 95% CI, 1.519–6.982) were independent predictors of catheter removal ( p < 0.05). The prevalence of polymicrobial peritonitis and fungal peritonitis has increased ( p < 0.05). Conclusion: Attention should be paid to patients with long PD duration or a history of previous episodes of PDAP characteristics.