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Current epidemiology and practice patterns in prevention and treatment of PD-related infections in Poland

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Názov: Current epidemiology and practice patterns in prevention and treatment of PD-related infections in Poland
Autori: Monika Lichodziejewska-Niemierko, Michał Chmielewski, Ewa Wojtaszek, Ewa Suchowierska, Edyta Gołembiewska, Magdalena Grajewska, Joanna Matuszkiewicz-Rowińska, Beata Naumnik, Beata Sulikowska, Stanisław Niemczyk, Renata Kłak, Magdalena Mosakowska, Piotr Jagodziński, Bernadeta Marcykiewicz, Krzysztof Kalita, Robert Krawczyk, Krzysztof Cieszyński, Mirosław Adamski, Marek Bronk
Zdroj: International Urology and Nephrology. 51:335-341
Informácie o vydavateľovi: Springer Science and Business Media LLC, 2019.
Rok vydania: 2019
Predmety: Adult, Male, Staphylococcus aureus, Peritoneal dialysis - adverse effects, physicians, Practice patterns, Catheter-related infections - drug therapy, Peritonitis, Anti-bacterial agents - therapeutic use, Peritoneal dialysis - methods, 03 medical and health sciences, Peritoneal dialysis - statistics & numerical data, 0302 clinical medicine, Catheter-related infections - epidemiology, chronic - therapy, Humans, Renal insufficiency, Practice Patterns, Physicians', Renal Insufficiency, Chronic, peritonitis, Middle aged, Peritonitis - microbiology, Aged, Peritonitis - epidemiology, Anti-bacterial agents - classification, Antibiotic prophylaxis - methods, Staphylococcal infections - epidemiology, Health care surveys, Poland - epidemiology, Antibiotic Prophylaxis, Middle Aged, Staphylococcal Infections, infection, Anti-Bacterial Agents, 3. Good health, peritoneal dialysis, Catheter-Related Infections, Health Care Surveys, Staphylococcus aureus - isolation & purification, Peritonitis - drug therapy, Female, Staphylococcal infections - drug therapy, Poland, Peritonitis - etiology, Peritoneal Dialysis, Catheter-related infections - microbiology
Popis: Peritoneal dialysis (PD) related infections are associated with technique failure and mortality. The aim of this multicentre study was to examine epidemiology, treatment and outcomes of PD-related infections in Poland as well as practice patterns for prevention of these complications in the context of current ISPD recommendations.A survey on PD practices in relation to infectious complications was conducted in 11 large Polish PD centres. Epidemiology of peritonitis and exit-site infections (ESI) was examined in all patients treated in these units over a 2 year period.The study included data on 559 PD patients with 62.4% on CAPD. Practice patterns for prevention of infectious complications are presented. The rate of peritonitis was 0.29 episodes per year at risk, with Gram positive microorganisms responsible for more than 50% of infections and 85.8% effectively treated. Diagnosis and treatment followed ISPD guidelines however most units did not provide an anti-fungal prophylaxis. Although neither of the centres reported routine topical mupirocin on catheter exit-site, the rate of ESI was low (0.1 episodes per year at risk), with Staphylococcus aureus as most common pathogen and full recovery in 78.3% of cases.The study shows rewarding outcomes in prevention and treatment of PD-associated infections, mainly due to a thorough compliance with the current ISPD guidelines, although some deviations from the recommendations in terms of practice patterns have been observed. More studies are needed in large numbers of patients to differentiate the importance of specific recommendations and further support the guidelines.
Druh dokumentu: Article
Jazyk: English
ISSN: 1573-2584
0301-1623
DOI: 10.1007/s11255-018-2057-9
Prístupová URL adresa: https://pubmed.ncbi.nlm.nih.gov/30604230
https://www.ncbi.nlm.nih.gov/pubmed/30604230
https://pubmed.ncbi.nlm.nih.gov/30604230/
https://link.springer.com/article/10.1007/s11255-018-2057-9
https://link.springer.com/article/10.1007/s11255-018-2057-9
https://doi.org/10.1007/s11255-018-2057-9
Rights: Springer TDM
Prístupové číslo: edsair.doi.dedup.....20725b65e2b9d2203380ff0cf50c51bc
Databáza: OpenAIRE
Popis
Abstrakt:Peritoneal dialysis (PD) related infections are associated with technique failure and mortality. The aim of this multicentre study was to examine epidemiology, treatment and outcomes of PD-related infections in Poland as well as practice patterns for prevention of these complications in the context of current ISPD recommendations.A survey on PD practices in relation to infectious complications was conducted in 11 large Polish PD centres. Epidemiology of peritonitis and exit-site infections (ESI) was examined in all patients treated in these units over a 2 year period.The study included data on 559 PD patients with 62.4% on CAPD. Practice patterns for prevention of infectious complications are presented. The rate of peritonitis was 0.29 episodes per year at risk, with Gram positive microorganisms responsible for more than 50% of infections and 85.8% effectively treated. Diagnosis and treatment followed ISPD guidelines however most units did not provide an anti-fungal prophylaxis. Although neither of the centres reported routine topical mupirocin on catheter exit-site, the rate of ESI was low (0.1 episodes per year at risk), with Staphylococcus aureus as most common pathogen and full recovery in 78.3% of cases.The study shows rewarding outcomes in prevention and treatment of PD-associated infections, mainly due to a thorough compliance with the current ISPD guidelines, although some deviations from the recommendations in terms of practice patterns have been observed. More studies are needed in large numbers of patients to differentiate the importance of specific recommendations and further support the guidelines.
ISSN:15732584
03011623
DOI:10.1007/s11255-018-2057-9