Infectious peritonitis profile in peritoneal dialysis at Ibn Sina University Hospital: a 6-year data report

Bekaoui, S.; Haddiya, I.; Houti, M. Slimani; Berkchi, Fatima Zahra; Ezaitouni, F.; Ouzeddoun, N.; Bayahia, R.; Benamar, L.

doi:10.2147/ijnrd.s42069

Cited by 3 publications

(3 citation statements)

References 8 publications

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“…Seventeen studies were included in this review representing studies from seven countries (Cameroon, 15 Egypt, 8 Morocco, 16 Senegal, 7 17 South Africa, 4 5 9 18–22 Sudan 23 and Tunisia 24–26 ) ( figure 2 ). The overall sample size for the studies was 1894 with a median sample of 85 (IQR: 62–152).…”

Section: Resultsmentioning

confidence: 99%

Prevalence of peritonitis and mortality in patients with ESKD treated with chronic peritoneal dialysis in Africa: a systematic review

et al. 2020

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ObjectiveThe aim of this study was to report the prevalence of peritonitis and mortality in patients with end-stage kidney disease (ESKD) treated with chronic peritoneal dialysis (PD) in Africa.DesignSystematic review.SettingAfrica.ParticipantsPatients with ESKD in Africa.InterventionsPD in its varied forms.Primary and secondary outcomesPD-related peritonitis rate (primary outcome), time-to-discontinuation of PD, mortality.Data sourcesFour databases, including PubMed, Embase, Web of Science and Africa Journal Online were systematically searched from 1 January 1980 to 31 December 2019.Eligibility criteriaStudies conducted in Africa reporting peritonitis rate and mortality in patients treated with PD.Data extraction and synthesisTwo reviewers extracted and synthesised the data using Microsoft Excel. The quality of included data was also assessed.ResultsWe included 17 studies from seven African countries representing 1894 patients treated with PD. The overall median age was 41.4 years (IQR: 38.2–44.7) with a median time on PD of 18.0 months (17.0–22.6). An overall median peritonitis rate of 0.75 (0.56–2.20) episodes per patient-year (PPY) was observed and had declined with time; peritonitis rate was higher in paediatric studies than adult studies (1.78 (1.26–2.25) vs 0.63 (0.55–1.87) episodes PPY). The overall median proportion of deaths was 21.1% (16.2–25.8). Culture negative peritonitis was common in paediatric studies and studies that reported combined outcomes of continuous ambulatory PD and automated PD. Both 1-year and 2-year technique survival were low in all studies (83.6% and 53.0%, respectively) and were responsible for a high proportion of modality switch.ConclusionsOur study identifies that there is still high but declining peritonitis rates as well as low technique and patient survival in PD studies conducted in Africa. Sustained efforts should continue to mitigate factors associated with peritonitis in patients with ESKD treated with PD in Africa.PROSPERO registration numberCRD42017072966.

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Section: Resultsmentioning

confidence: 99%

Prevalence of peritonitis and mortality in patients with ESKD treated with chronic peritoneal dialysis in Africa: a systematic review

et al. 2020

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“…Ainsi, l'incidence dans le service est passée d'une moyenne de 10 patients par an à plus de 20 patients par an à partir de 2015, avec une prévalence de complications liées à la technique, tant mécaniques qu'infectieuses, identiques à celles rapportées par la littérature, et un taux de survie identique [12][13][14][15][16][17]. Ce résultat n'aurait pu avoir lieu sans le développement de nouvelles ressources humaines, dédiées à la technique, pour assurer un effort continu et efficace avec une grande expertise.…”

Section: Discussionunclassified

Peritoneal Dialysis at Ibn Sina Hospital in Rabat: 10 years’ experience

Benbella¹,

guennoun²,

Belrhiti³

et al. 2020

Bull Dial Domic

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Introduction: The choice of dialysis modality has become an important decision that affects not only the country's health policy in the management of chronic end stage renal failure, but also the quality of life of patients and their survival. Peritoneal dialysis is an alternative for the treatment of these patients. The objective of our work is to report the epidemiological, clinical and biological results in the unit of PD, UHC of Rabat and to clarify the obstacles to the development of PD in Morocco. Material and Methods: We conducted a descriptive retrospective study in our PD unit from July 2006 to July 2017, including all patients who were in PD by choice or necessity and enrolled in the French Peritoneal Dialysis Registry (RDPLF). Results: In 10 years, 159 patients were placed in PD, with an average age of 50.44 +/- 17.42 years and a sex ratio of 1.36. The indication for placement of setting in PD was by choice in 34% of the cases, social in 52% and medical in 14% of cases. Mechanical complications were dominated by catheter migrations. Infectious complications were represented by peritonitis, caused by poor of hygiene in 42% of cases. Conclusion: The obstacles to the development of PD are the lack of knowledge of the technique by the patients, as well as the prejudices or myths about the technique.

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“…Sin embargo y a pesar de haber disminuido marcadamente las complicaciones, la peritonitis representa la principal complicación aguda de la diálisis peritoneal, causando hospitalización, pérdida del catéter, abandono de la técnica y trasferencia a hemodiálisis, así como mortalidad [7][8][9][10][11][12] , la etiología bacteriológica es diversa [13][14][15][16][17][18][19][20][21][22][23] , su diagnóstico, tratamiento y pronóstico están, por lo general, claramente definidos 24-28 y su pronóstico es variable [29][30][31][32][33] .…”

Section: Introductionunclassified

Microbiological evaluation safety cap in peritoneal dialysis

García¹,

Silva²,

Herrera³

et al. 2015

Rev. Colomb. Nefrol.

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ResumenEn los pacientes con enfermedad renal crónica terminal, que reciben terapia dialítica bajo la modalidad de diálisis peritoneal, se ha descrito que las complicaciones infecciosas como la peritonitis, permanecen como la principal causa de pérdida de la terapia, aún después de lograr disminuir las tasas de presentación de esta complicación. Los factores etiológicos asociados son múltiples y van desde la condición clínica del paciente, su adherencia al protocolo de realización de la terapia, su estado socioeconómico y el sistema utilizado para el aporte de los líquidos al peritoneo. Tomando como objetivo estos factores, decidimos estudiar la adherencia al protocolo de conexión de diálisis,el comportamiento microbiológico y su asociación altapón de seguridad del cambio anterior del sistema de diálisis peritoneal BenY®, en pacientes previamente clasificados según su adherencia al protocolo de conexión a diálisis. Se evaluó la técnica del paciente para la conexión a su terapia según la escala de 9 pasos fundamentales y puntos adicionales, y se tomaron cultivos de dispositivos nuevos y usados por los pacientes. En nuestro estudio no se evidenció asociación clínicamente significativa del dispositivo evaluado en el desarrollo de peritonitis, comparado con otros existentes para la misma finalidad. Palabras clave: Diálisis peritoneal, peritonitis, tapón de seguridad del cambio anterior (fuente DeCS). Microbiological evaluation safety cap in peritoneal dialysis AbstractIn patients with end stage renal disease treated with peritoneal dialysis, peritonitis remain as a principal cause of complications and loss patient for this therapy, instead of the decrease in peritonitis rate. Etiology has been related to multiple factors included clinical conditions of patient, follow of a clinical protocol for connection to dialysis, its socioeconomic status and the used system to deliver fluid to peritoneal cavity. Considering that, in this study we evaluated the microbiological behavior of "Sistema de diálisis peritoneal BenY´s® "Safety Lock", and its contribution to peritonitis develop, in evaluated patient for adherence to the clinical protocol for connection to peritoneal dialysis. Patient connection technique, was assessed by nine key steps, and then took cultures of new and used devices by patients. In our study there is no evidence of a clinical correlation of evaluated device with infectious episodes.

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Infectious peritonitis profile in peritoneal dialysis at Ibn Sina University Hospital: a 6-year data report

Cited by 3 publications

References 8 publications

Prevalence of peritonitis and mortality in patients with ESKD treated with chronic peritoneal dialysis in Africa: a systematic review

Prevalence of peritonitis and mortality in patients with ESKD treated with chronic peritoneal dialysis in Africa: a systematic review

Peritoneal Dialysis at Ibn Sina Hospital in Rabat: 10 years’ experience

Microbiological evaluation safety cap in peritoneal dialysis

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