Year: 2017
Type: conference-abstract
Abstract: INTRODUCTION AND AIMS: Early-onset peritonitis is a common and serious complication of peritoneal dialysis (PD) therapy. Peritonitis remains the primary reason for transfer to haemodialyis, and is a key contributor to patient morbidity and death. Observational studies have identified several patient and therapy-related factors that have been associated with an increased risk of peritonitis in prevalent PD patients. However, it is unclear whether these factors also predict the risk of early peritonitis and its outcome in incident PD patients. METHODS: This retrospective cohort study examined all incident PD patients in Australia between 2003 and 2014. The primary outcome was early peritonitis, defined as onset within 12 months of PD commencement. Secondary outcomes were medical cure, relapse or recurrence, catheter removal, peritonitis-associated technique failure, and peritonitis-associated death. SP493 Figure CONCLUSIONS: In conclusion, male sex, indigenous race, residential remoteness, obesity, cigarette smoking, CVD, CAPD and prior RRT were risk factors for early peritonitis, whilst older age and absence of obesity were associated with lower odds of early peritonitis cure. Modified approaches to patient selection, training techniques and peritonitis prevention strategies should be considered in high risk individuals.
Language: English
Subfield: Nephrology
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W2617222863