Risk Factors of Very Early-Onset Peritonitis in Patients Underwent Continuous Ambulatory Peritoneal Dialysis
Keywords:end stage renal diseases, continuous ambulatory peritonsal dialysis, peritonitis, risk factors of very early-onset peritonitis
Peritonitis is one of the most serious problems of CAPD patients. This analytical study was conducted to examine the risk factors of very early-onset peritonitis (VEOP) in ESRD patients who underwent CAPD. The factors were 1) medical conditions, 2) process of doing CAPD, 3) social and environment and 4) infections. The purposive samples were patients who underwent CAPD and had a first episode of peritonitis at Hemodialysis unit of Queen Savang Vadhana Memorial Hospital from 2014 to 2019. Data were collected by the constructed record form. Its validity was checked by the five experts. Its reliability was tested by test-retest method with a ninety-eight percent agreement. Data were analyzed using descriptive statistics. Chi-square test was used to compare the percentages between the two groups. The risk factors were analyzed by binary logistic regression.
There were 164 samples which were divided into two groups. Those were 32 and 132 cases in VEOP within 90 days and more than 90 days groups, respectively. Most of the patients were aged 40 - 60 years. The demographic data of the two groups were not different in terms of age, gender, education, and income. However, the VEOP within 90 days group had a significantly greater percentage of single/widow status than those of the more than 90 days group (p = .004). The significant risk factors of VEOP were Hct £ 30%, FBS > 140 mg/dl, and K £ 3 mEq/L, respectively.
This study recommended assessing the risk factors of VEOP from blood test results in all new CAPD cases. Those were Hct £ 30%, FBS > 140 msg/dl, and K £ 3 mEq/L. The patients who had abnormal of those blood test needed for counseling from a multidisciplinary team in order to improve their medical conditions before starsing CAPD. Also, after initial CAPD, follow up at the first and second weeks and telephone counseling should be done.
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