Journal Article

Comparison of infectious complications in peritoneal dialysis patients using either a twin‐bag system or automated peritoneal dialysis

Jenq‐Wen Huang, Kuan‐Yu Hung, Chung‐Jen Yen, Kwan‐Dun Wu and Tun‐Jun Tsai

in Nephrology Dialysis Transplantation

Published on behalf of European Renal Association - European Dialysis and Transplant Assoc

Volume 16, issue 3, pages 604-607
Published in print March 2001 | ISSN: 0931-0509
Published online March 2001 | e-ISSN: 1460-2385 | DOI: http://dx.doi.org/10.1093/ndt/16.3.604
Comparison of infectious complications in peritoneal dialysis patients using either a twin‐bag system or automated peritoneal dialysis

Show Summary Details

Preview

Background. Automated peritoneal dialysis (APD) and twin‐bag (TB) systems are two major peritoneal dialysis (PD) modalities. Published data comparing the infectious complications of these modalities is limited.

Subjects and methods. Ninety‐five patients using APD (the APD group) and 117 patients using TB system (the TB group) were recruited. Among them, 35 patients used both modalities. The two groups’ clinical characteristics, incidences of infectious complications, and the time intervals to first PD‐related infection were compared.

Results. Clinical characteristics, incidence of exit‐site infection (ESI), and time intervals to first ESI were similar in the TB and APD groups. The incidence of peritonitis in the APD group (1.22 episodes/100 patient‐months) was significantly (P<0.001) lower than that of the TB group (2.28 episodes/100 patient‐months). Using the Cox proportional hazard model, APD was found to have a lower risk of peritonitis relative to TB systems, with marginal significance (RR 0.58, P=0.051).

Conclusion. APD was found to have a lower peritonitis rate than the TB system. Since reducing the peritonitis rate helps to maintain technical survival during PD, from this viewpoint, APD may be preferred for patients undergoing PD, unless contraindicated.

Keywords: automated peritoneal dialysis; exit‐site infection; peritoneal dialysis; peritonitis; twin‐bag system

Journal Article.  2097 words.  Illustrated.

Subjects: Nephrology

Full text: subscription required

How to subscribe Recommend to my Librarian

Users without a subscription are not able to see the full content. Please, subscribe or login to access all content.