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Discussion:. Peritoneal Dialysis Is A Home-Based Renal

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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.

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