Current epidemiology and practice patterns in prevention and treatment of PD-related infections in Poland
| Autor: | Piotr Jagodziński, Michał Chmielewski, Bernadeta Marcykiewicz, Marek Bronk, Ewa Wojtaszek, Ewa Suchowierska, Stanisław Niemczyk, Monika Lichodziejewska-Niemierko, Renata Kłak, Joanna Matuszkiewicz-Rowińska, Beata Naumnik, Edyta Gołembiewska, Krzysztof Kalita, Mirosław Adamski, Magdalena Grajewska, Krzysztof Cieszyński, Robert Krawczyk, Magdalena Mosakowska, Beata Sulikowska |
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| Rok vydání: | 2018 |
| Předmět: |
Nephrology
Adult Male medicine.medical_specialty Staphylococcus aureus Urology medicine.medical_treatment 030232 urology & nephrology Peritonitis Mupirocin Context (language use) 030204 cardiovascular system & hematology medicine.disease_cause Peritoneal dialysis 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Internal medicine Epidemiology medicine Humans Practice Patterns Physicians' Renal Insufficiency Chronic Aged business.industry Antibiotic Prophylaxis Middle Aged Staphylococcal Infections medicine.disease Anti-Bacterial Agents Catheter chemistry Catheter-Related Infections Health Care Surveys Female Poland business Peritoneal Dialysis |
| Zdroj: | International urology and nephrology. 51(2) |
| ISSN: | 1573-2584 |
| 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. |
| Databáze: | OpenAIRE |
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