Relation of Demographic, Clinic and Biochemical Parameters to Peritonitis in Peritoneal Dialysis

Abstract

The relation of various demographic, clinical and biochemical parameters of peritoneal dialysis patients with peritonitis and other infections was evaluated. The age, gender, peritoneal dialysis (PD) period, educational status, peritonitis, exit site score, serum albumin, C-reactive protein (CRP), and triglyceride levels at the beginning and the last visit were recorded. Mean age of 32 patients was 45.1 years; PD period was 13.1 months. Albumin level was inversely proportional to the frequency of peritonitis. Patients with peritonitis had albumin levels that were lower at the last visit, and were independent of the CRP values at the start of PD and during follow-up. Significant correlation was detected between females and exit site scores. There was significant correlation between educational status and peritonitis. Albumin level at first visit was a factor that reduced the likelihood of peritonitis, and low levels obtained during follow-up constituted a risk for peritonitis. It was also shown that peritonitis risk tended to decrease inversely with education level.

Risk factors for peritonitis related to peritoneal dialysis

“…For instance, it was shown that peritonitis risk tended to decrease as education level increased (9,10). Hypoalbuminemia is also very well known to be associated with a higher chance of developing peritonitis (9).…”

Dukungan Keluarga dan Keputusan Inisiasi Hemodialisis Pasien Gagal Ginjal Kronik di RSUD Kota Madiun

“…Keputusan program inisiasi hemodialisis dapat dipengaruhi oleh berbagai faktor. Beberapa faktor yang diprediksi dapat mempengaruhi keputusan inisiasi hemodialisis diantaranya yaitu faktor demogra yang meliputi umur, jenis kelamin, status pendidikan dan status pekerjaan, faktor geogra yang meliputi jarak antara tempat tinggal dengan tempat pelayanan kesehatan, faktor sosial yaitu dukungan yang diberikan kepada pasien dari keluarga dan orang-orang yang dekat dengan pasien, faktor ekonomi meliputi pendapatan penghasilan bulanan dan status asuransi, serta faktor biologis meliputi penyakit penyebab gagal ginjal dan informasi nilai laboratorium yang meliputi nilai LFG dan kreatinin (Benner Hellen, 2006;Dogan et al, 2008;Shaefer & Rohrich (1999); Obrador et al, 1999;Kausz et al, 2000;Busuioc et al, 2008;Wilson, 2006;Ledebo et al, 2001) Faktor dukungan pelayanan kesehatan (Dixon et al, 2011;Emergency Nurse, 2011).…”