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Association between keeping home records of catheter exit-site and incidence of peritoneal dialysis-related infections

  • Nephrology - Original Paper
  • Published:
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Abstract

Purpose

To prevent peritoneal dialysis (PD)-related infection, components of self-catheter care have been emphasized. However, studies on the effectiveness of home recording for the prevention of PD-related infections are limited. This study aimed to examine the association between keeping home records of catheter exit site and incidence of PD-related infections.

Methods

Home record books were submitted by patients undergoing PD. The proportion of days on which exit-site home recording was carried out for 120 days (0–100%) was obtained. The patients were divided into the frequent home recording group (≥ 40.5%; median value) and the infrequent home recording group (< 40.5%). The associations between the recording group and the incidence rate ratios (IRRs) of PD-related infections were estimated via negative binomial regression models.

Results

A total of 67 patients participated in this study (mean age, 66.7 years). The incidence rates for exit-site infection, tunnel infection, and peritonitis were 0.42, 0.22, and 0.06 times/patient-year, respectively. The IRRs of the frequent versus infrequent home recording groups for PD-related infection were 1.58 (95% confidence interval [CI], 0.72–3.46) in the univariate analysis and 1.49 (95% CI, 0.65–3.42) in the multivariate analysis. The IRRs of the frequent versus infrequent home recording groups for composite of surgery to create a new exit site and removal of PD catheter were 0.55 (95% CI, 0.78–3.88) and 0.35 (95% CI, 0.06–1.99), respectively.

Conclusions

This study could not prove that keeping home records of patients’ catheter exit site is associated with a lower incidence of PD-related infections.

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Acknowledgements

We thank the participants of this study and the staff of Japanese Red Cross Medical Center. There is no funding disclosure regarding this research.

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Authors and Affiliations

  1. Center for Innovative Research for Communities and Clinical Excellence (CiRC2LE), Fukushima Medical University, Fukushima, Japan

    Hidekazu Iida, Noriaki Kurita, Shingo Fukuma & Shunichi Fukuhara

  2. Department of Clinical Epidemiology, Fukushima Medical University, Fukushima City, Fukushima, Japan

    Hidekazu Iida

  3. You Home Clinic Ishinomaki, Ishinomaki, Miyagi, Japan

    Hidekazu Iida

  4. Department of Innovative Research and Education for Clinicians and Trainees (DiRECT), Fukushima Medical University Hospital, 1 Hikarigaoka, Fukushima City, Fukushima, 960-1295, Japan

    Noriaki Kurita

  5. Department of Nephrology, Japanese Red Cross Medical Center, Tokyo, Japan

    Shino Fujimoto, Yuka Kamijo & Yoshitaka Ishibashi

  6. Department of Healthcare Epidemiology, School of Public Health in the Graduate School of Medicine, Kyoto University, Kyoto, Japan

    Shingo Fukuma & Shunichi Fukuhara

Authors
  1. Hidekazu Iida
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  2. Noriaki Kurita
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  3. Shino Fujimoto
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  4. Yuka Kamijo
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  5. Yoshitaka Ishibashi
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  6. Shingo Fukuma
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  7. Shunichi Fukuhara
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Correspondence to Noriaki Kurita.

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Iida, H., Kurita, N., Fujimoto, S. et al. Association between keeping home records of catheter exit-site and incidence of peritoneal dialysis-related infections. Int Urol Nephrol 50, 763–769 (2018). https://doi.org/10.1007/s11255-018-1789-x

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  • DOI: https://doi.org/10.1007/s11255-018-1789-x

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