Risk factors of peritonitis in CAPD patients.
Keywords:
Risk factors continuous peritoneal dialysis peritonitisAbstract
Background : Chronic renal failure was a common chronic diseases and was increased annually. Continuous peritoneal dialysis method was also convenient and
economical way for economies of Thailand. Peritonitis in Continuous peritonealdialysis patients was common and was a major cause to stop treatment or change
to other treatment methods.
Objective : To study the risk factors of peritonitis in CAPD patients.
Methods : This study was approved by the board for Human Research in Mukdahan province. Collecting data to compare the basic performance data, patient care and risk factors. Analyzed using percentage, mean, standard deviation. Comparative analysis of statistics used Chi square Independent t-test and Multiple logic regression analysis. Collected data at the dialysis clinic between 1 October 2008- 30 September 2010.
Design : Retrospective analytic study.
Results : The study collected a total of 50 samples.The results showed that Follow-up treatment were 545 months or 10.9 month per patient , 21.0 months per 1 infection, or 0.57 times per year. 37.0 % of the infected CAPD were positive cultures,mostly were E.coli about 40.0 %. 22 % died,mostly were infection related about 45.5%. From the correlation analysis showed that increased Albumin and Hemoglobin levels at the initial of CAPD period were the peritonitis defending factors (OR 0.011, 95% CI 0.000, 0.311) and (OR 0.157, 95% CI 0.035, 0.705) respectvely, and the other risk factors such as male sex, Constipation, Body mass index, Creatinine, Cholesterol, Triglyceride ,Calcium ,Phosphate , Weekly KT/V, Weekly creatinine clearance were not the risk factors of peritonitis.
Conclusion : The peritonitis rates was nearly standard recommendations 2010, but the positve culture was still remained low and the correlation analysis showed that increased Albumin and Hemoglobin levels at the initial of CAPD period were the peritonitis defending factors.
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