Discussion:
Peritoneal Dialysis is a home-based renal therapy. Hence, many factors contributes to the outcome including: patient selection, psycho-social factors, eduction level, timely treatment of PD-related complications (6).
To examine the clinical impact of various non-medical factors on PD outcomes, we analyzed this retrospective study and evaluated 120 incident CAPD pediatric patients. We identified important associations between patient’s residence and PD center, as well as the seasonal variation, with PD-related peritonitis in PD patients. Although younger age group was associated with a higher peritonitis rate overall. To the best of our knowledge, this is the first study searching for those factors on outcomes among pediatric
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52 cases of peritonitis were identified during the follow-up period, 46 first episodes and 6 secondary episodes. The rate of first peritonitis episode was one episode per 3.35 years of follow-up. The rate of second peritonitis episode was one episode per 18.5 years of follow up.
The distribution of peritonitis cases over the seasons of the year, have shown that the largest number of cases occurred in the rainy summer season (44%, n=23) and (29%, n=15) in dry, while the season with the least occurrences was wet season (27%, n=14
It was observed when classifying micro-organisms to gram-negatives and positive. Gram-negative (Pseudomonas sp., Escherichia coli, Enterobacter sp., Klebsiella sp.) were more prevalent in hot (41%, n=7), presented in the same number and percentage of cases for both dry and wet seasons (29%, n=7).
The gram-positives, (Staphylococcus coagulase negative, Staphylococcus aureus, Streptococcus sp., Enterococcus sp.) occurred more in rainy summer (60%, n=6) compared to dry (30%, n=3) and wet (10%, n=1). These finding is similar to that reported by previous studies (12, 13, 14,).
The distribution of Peritonitis throughout the year is presented in Figure 1. Peritonitis with a negative culture had a higher prevalence in hot season (43%, n=10) while represented in (35%, n=8) and (22%, n=5) in dry and wet seasons respectively.
Our findings highlight the importance of climatic factors on the incidence of PD-related peritonitis.
Figure
Chronic kidney disease (CKD) is a common disorder and occurs in the elderly population. In younger patients, it
There is a risk of C. gattii in tropical areas and the Pacific Northwest. There are many factors that contribute to this risk. How it is transmitted, environmental causes, locations of infection, and prevention. It is important to understand the risk before traveling so you don’t become infected. To learn more about this risk we will look at areas in which the fungi exists, who’s susceptible, and how to keep from getting sick.
The abundance of V. vulnificus in coastal water was strongly correlated to water temperature. The isolation of cultivable forms is limited to the warmest months. Maugeri TL et al reported that V. vulnificus was isolatd only when the water temperature was between 20 to 21.5°C (Maugeri et al. 2006). In the present study, the bacterium was isolated during the summer season (average water temperature of 25°C). It seems that this finding can show association of the cultivable forms on high water temperature. In the current research, V. vulnificus was not found in any samples obtained in the spring (average water temperature of 15°C). In the Gulf of Mexico V. vulnificus was not isolated when seawater temperatures were <14°C (Pfeffer et al. 2003).When the water temperatures reach to less than 13°C, V. vulnificus strains enter the VBNC state in which they are metabolically active but unable to reproduce on common culture media (Nowakowska and Oliver 2013, Wu et al. 2016). In conclusion, with regard to the presence of V. vulnificus in the area under study, the bacterium may cause disease in swimming who have open
Warm to hot climate weather causes bacteria to grow which if it is found on a human body that is going to the stages of decomposition, the hot bacteria will hasten the decay process. In addition, researchers have taken these factors into consideration and rate them on the effect on a body. From a scale one through five, five being the highest rate, temperature was rate with a five along with insects. Humidity as rated a four followed by rainfall which was rated a three(Spennemann, Franke, pg 67, 1995.) Thus temperature is the highest variable that causes the most affect on a body on land, followed by the dry weather of humidity and lastly, the wet climate of
CAPD- Continuous Ambulatory Peritoneal Dialysis. When your kidneys begin to fail your blood is not clean properly and you are not able to get rid of extra waste products in your body. Continuous Ambulatory Peritoneal Dialysis replaces the work of a failed kidney, it cleans your blood and also helps to control water. A permanent catheter is placed in the abdomen whilst under local/general anaesthetic. It might be necessary for you to stay in hospital for 24-48 hours following the procedure which has just taken place, during your short stay in hospital you may have some dialysis. One to three litres of dialysis fluid are run through the catheter and into the peritoneal cavity, this fluid remains in the cavity for several hours before being drained.
Medicare will not fund for these hospital acquired infections; costing the hospital thousands of dollars. Every single time this happens, the hospital is losing supplies and time with no reward, as well as causing pain to our patients. As you know UTI’s have exponential effects on our patients that can lead to dire consequences like kidney failure if left untreated. Therefore, we should be using the best evidence based practice.
The human lips had the most amount of bacteria at 15% (Table 1 & Figure 1). The toilet seat had 8% of bacteria (Table 1 & Figure 3). The soil outside QCC had only 5% bacteria (Table 1 & Figure 2). The toilet seat had two different kinds of bacteria on it (Table 1 & Figure 3). Fungus was only present in the sample collected from the soil outside QCC (Table 2 & Figure 3).
Environment. Bordetella Pertussis requires a warm and moist environment to grow. The organism is very susceptible to environmental changes and cannot survive outside the respiratory tract. Pertussis lacks a seasonal pattern but most cases occur most during summer and fall (Dominguez, 2005). Since pertussis spreads by droplet transmission, institutional settings such as daycare facilities, schools and hospitals are common areas of outbreaks. Pertussis occurs worldwide regardless of countries with high vaccination coverage (Crowcroft & Pebody, 2006). However, the death rate of pertussis is highest in countries where vaccination coverage is low, which is primarily in the developing world (CDC, 2011b). In the United States, California has the highest concentration of cases caused by Pertussis.
The neoplasms implicated in chronic periaortitis may be metastatic (e.g., carcinoma of the prostate, breast, colon) or primary (e.g., Hodgkin's and non-Hodgkin lymphomas, inflammatory myofibroblastic tumour, liposarcoma). Carcinoids tumours are likely to induce retroperitoneal fibrosis in the absence of metastases, or primary localisation in the
Dialysis is a life-saving treatment for adults and children with acute and chronic kidney failure. While it is a life-saving treatment, it can also be life threatening. There are steps and precautions that a healthcare professional must take when assisting a patient with the initiation of dialysis treatment. Patients must also take personal precautions. Training is provided to patient care technicians, nurses and other direct patient care staff. This is to ensure the safety of the patients by having knowledgeable and educated staff. Patients are also trained on certain aspects of the treatment to ensure they receive proper care.
perfringens which causes the lysis of erythrocytes (Harris, Sims, & Tweten, 1991). C. perfringens is also a spore forming bacteria, allowing it to survive in very hostile conditions that other bacteria would die in; C. perfringens can survive moist heat and UV radiation (Carlisle, 2014). The transmission of C. perfringens is not community based, meaning that it is not transferred from person to person; rather, it is transmitted by contamination of deep wounds – because these tissues provide the anaerobic environment needed for C. perfringens to survive – by anything, most commonly dirt, that contains C. perfringens (The Public Health Agency of Canada, 2011). The incubation period for C. perfringens can vary anywhere between six and twenty-four hours. The most common incubation period is between ten and twelve hours (“Clostridium Perfringens”,
Chronic kidney disease (CKD) is an irreversible condition that progresses causing kidney dysfunction and then to kidney failure. It is classified by a GFR of <60mL/min for longer than 3 months. There are five stages of CKD: Stage 1 has kidney damage but has a GFR ≥ 90. Stage 2 has mild damage and a GFR of 60-89. Stage 3 has moderate damage and a GFR of 30-59. Stage 4 has severe damage and a GFR of 15-29. Stage 5 is also known as end stage renal disease (ESRD), this is kidney failure with a GFR of ≤ 15 and theses patients are typically on dialysis or in need of an immediate transplant. The leading cause of CKD is diabetes. Hypertension is also a major cause. Since most DM patients have HTN,
Dampness on the other hand is most likely to attack the Spleen and Stomach. Summer heat with dampness can move slower and manifest at the qi level and attack the Spleen. Summer heat with it’s damp component was now dealt with more effectively by diffusing the exterior while transforming dampness rather than draining heat with a purgative as in former times. Or Summer Heat with more heat than damp, will attack directly at the qi level and attack the Stomach. Lurking means the pathogen incubates whereas new onset disease does not, lurking Summer heat incubates and appear later.
Infectious diseases are more seen in people living in places with less sun during winter months, we know those as influenza virus or simply cold. The sun in those places is unable to produce vitamin D and that is why we get sick so often. The people that live in the warm places, where the vitamin D is produced all year round, don’t get sick as often (Holick, 2008).
Cholera outbreaks are seasonal and more common about the monsoon time in endemic countries like India. The incidence is highest in