Catheter type, placement and insertion techniques for preventing catheter-related infections in chronic peritoneal dialysis patients

Htay, Htay; Johnson, David W.; Craig, Jonathan C.; Schena, Francesco Paolo; Strippoli, Giovanni F.M.; Tong, Allison; Cho, Yeoungjee

doi:10.1002/14651858.cd004680.pub3

Cited by 32 publications

(38 citation statements)

References 79 publications

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“…Despite the emergence of laparoscopic PD catheter placement as the standard of care, a systematic review determined that there is no strong evidence supporting a specific catheter type or insertion technique in reducing the risks of PD‐related infections, technique failure, or death 29 . Rather, variance in the rate of complications seems to be more dependent on operator expertise and patient factors.…”

Section: Pd‐related Abdominal Surgerymentioning

confidence: 99%

When end‐stage kidney disease complicates abdominal surgery

Lew

Collins

2020

Seminars in Dialysis

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Patients receiving peritoneal dialysis (PD) encounter an increased risk for infection, bleeding, and PD fluid leakage after abdominal surgery. These complications may affect the future use of PD. Appropriate patient preparation may mitigate complications. Certain complications or procedures allow patients to remain on PD while others require transition to hemodialysis. We review the etiology and management of infection, bleeding, and PD fluid leakage associated with abdominal surgery as well as the relationship of specific abdominal procedures to continuing PD.

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Section: Pd‐related Abdominal Surgerymentioning

confidence: 99%

When end‐stage kidney disease complicates abdominal surgery

Lew

Collins

2020

Seminars in Dialysis

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“…A new Cochrane review, 7 summarized by Htay and Johnson, 8 examines the impact of the peritoneal catheter placement procedure and catheter type on PD-related infectious outcomes. The authors identified 43 randomized or quasi-randomized studies, which included 3,180 patients.…”

Section: Putting Peritoneal Dialysis Catheter Infections Into Perspecmentioning

confidence: 99%

“…In general, no one approach was superior to another regarding catheter design or insertion on peritonitis episodes. 7,8 The authors examined 19 studies that looked at peritoneal catheter insertion techniques, including comparison of laparoscopy versus laparotomy, percutaneous placement versus laparotomy, and midline versus lateral insertion. None of these approaches was better than any other, although the studies were often underpowered.…”

Section: Putting Peritoneal Dialysis Catheter Infections Into Perspecmentioning

confidence: 99%

Putting Peritoneal Dialysis Catheter Infections Into Perspective

Piraino

2019

American Journal of Kidney Diseases

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“…9 To reduce the complications of peritoneal dialysis, previous studies mostly focused on improving the catheterization method. [10][11][12] However, there have been few studies on the factors that affect postoperative complications, and most of them are limited to peritonitis. [13][14][15] Factors that are associated with overall complications after catheter insertion for peritoneal dialysis are unclear.…”

Section: Introductionmentioning

confidence: 99%

Establishment of a prediction model for early and mid-term complications for patients undergoing catheter insertion for peritoneal dialysis

Liu

Zhou

et al. 2021

J Int Med Res

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Objective To investigate the factors involved in early and mid-term complications after catheter insertion for peritoneal dialysis and to establish prediction models. Methods A total of 158 patients with peritoneal dialysis in the Department of Nephrology of our hospital were retrospectively analyzed. General information, laboratory indices, early complications (within 1 month after the operation), mid-term complications (1–6 months after the operation), and other relevant data were recorded. Multivariate logistic regression analysis was performed to establish a prediction model of complications and generate a nomogram. Receiver operating characteristic (ROC) curve analysis was used to evaluate the efficacy of the model. Results Among the patients, 48 (30.8%) had early complications, which were mainly catheter-related complications, and 29 (18.4%) had mid-term complications, which were mainly abdominal infection and catheter migration. We constructed a prediction model for early complications (area under the curve = 0.697, 95% confidence interval: 0.609–0.785) and mid-term complications (area under the curve = 0.730, 95% confidence interval: 0.622–0.839). The sensitivity was 0.750 and 0.607, and the specificity was 0.589 and 0.765, respectively. Conclusions Our prediction model has clinical significance for risk assessment of early and mid-term complications and prevention of complications after catheterization for peritoneal dialysis.

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Catheter type, placement and insertion techniques for preventing catheter-related infections in chronic peritoneal dialysis patients

Cited by 32 publications

References 79 publications

When end‐stage kidney disease complicates abdominal surgery

When end‐stage kidney disease complicates abdominal surgery

Putting Peritoneal Dialysis Catheter Infections Into Perspective

Establishment of a prediction model for early and mid-term complications for patients undergoing catheter insertion for peritoneal dialysis

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