Simultaneous removal and replacement of infected peritoneal dialysis catheters

Majkowski, Nancy L.; Mendley, Susan R.

doi:10.1016/s0272-6386(97)90123-2

Cited by 41 publications

(23 citation statements)

References 5 publications

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“…Although no standard dialysis prescription exists for immediate resumption of PD, a low volume, supine, intermittent PD protocol to minimize the risk of leak was used in most studies (5,7,10,12,13). The use of a cycler in this clinical setting is particularly convenient.…”

Section: Discussionmentioning

confidence: 99%

Simultaneous Catheter Replacement for Infectious and Mechanical Complications without Interruption of Peritoneal Dialysis

Crabtree

Siddiqi

2015

Perit Dial Int

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Section: Discussionmentioning

confidence: 99%

Simultaneous Catheter Replacement for Infectious and Mechanical Complications without Interruption of Peritoneal Dialysis

Crabtree

Siddiqi

2015

Perit Dial Int

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“…persistent positive dialysate cultures without clinical signs of peritonitis and a dialysate leukocyte count <100 m 3 ) (Majkowski and Mendley 1997;Posthuma et al 1998). Evidence suggests that the peritoneal WBC count should be less than 100/μl and antibiotics continued for 10 days after the WBC normalized or 7 days after surgery (Posthuma et al 1998).…”

Section: Indications For Removal Of the Dialysis Cathetermentioning

confidence: 99%

Overview of Peritoneal Dialysis

Mehrotra

Crabtree

Kathuria

2013

Studies in Computational Intelligence

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“…The usefulness of single-step catheter replacement (replacement procedure) has been established in TI [7,8], but that of cuff-shaving has not. Cuff-shaving has been studied only in adults and has been effective in some studies [6,9,10,11,12] but not in others [13].…”

Section: Introductionmentioning

confidence: 99%

Merit of the cuff-shaving procedure in children with tunnel infection

et al. 2004

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Catheter replacement and cuff-shaving are per-formed as a surgical treatment against tunnel infection(TI) in patients on chronic peritoneal dialysis. The efficacy of catheter replacement is well established, but that of cuff-shaving is not. For the purpose of evaluating the efficacy of cuff-shaving, we compared the time interval between each procedure and subsequent TI. In order to perform this comparison, we reviewed data from 32 cuff-shaving procedures and 29 catheter replacement procedures at Tokyo Metropolitan Kiyose Children's Hospital in the period from 1 March 1991 to 1 May 2001, retrospectively. There was no significant difference in the time interval between each procedure and subsequent TI(P=0.284). The incidence of recurrence was no more than 12.5% for the cuff-shaving procedures. The incidence of peritonitis due to post-surgery TI with the cuff-shaving procedures was 9.3% and 6.8% with the replacement procedure (P=0.725). There was no significant variation in time interval to post-cuff-shaving TI according to the reason for the cuff-shaving procedure. In conclusion,cuff-shaving may be worth considering for TI in adequately selected patients.

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Simultaneous removal and replacement of infected peritoneal dialysis catheters

Cited by 41 publications

References 5 publications

Simultaneous Catheter Replacement for Infectious and Mechanical Complications without Interruption of Peritoneal Dialysis

Simultaneous Catheter Replacement for Infectious and Mechanical Complications without Interruption of Peritoneal Dialysis

Overview of Peritoneal Dialysis

Merit of the cuff-shaving procedure in children with tunnel infection

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