Catheter-related infections and microbiological characteristics in coiled versus straight peritoneal dialysis catheters in Malaysia
Background: Catheter-related infections remain a threat in peritoneal dialysis (PD) patients. Attempts to improve catheter insertion techniques and catheter type with best infectious outcomes yield heterogenous results. We seek to determine catheter-related infections in two different types of cathe...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Medknow Publications
2020
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| Online Access: | http://psasir.upm.edu.my/id/eprint/88097/1/ABSTRACT.pdf |
| _version_ | 1796981926014222336 |
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| author | Abdul Rashid, Anna Misya'il Lim, Christopher Thiam Seong |
| author_facet | Abdul Rashid, Anna Misya'il Lim, Christopher Thiam Seong |
| author_sort | Abdul Rashid, Anna Misya'il |
| collection | UPM |
| description | Background: Catheter-related infections remain a threat in peritoneal dialysis (PD) patients. Attempts to improve catheter insertion techniques and catheter type with best infectious outcomes yield heterogenous results. We seek to determine catheter-related infections in two different types of catheters and its microbiological spectrum. Methods: Retrospective cross-sectional study conducted in Hospital Serdang, Malaysia. We included end-stage renal disease (ESRD) patients who opted for PD and examined catheter-related infections (peritonitis, exit site infection, and tunnel tract infection) and organisms causing these infections. Results: We included 126 patients in this study; 75 patients received the coiled PD catheter (59.5%) and 51 patients received the straight PD catheter (40.5%). The majority of patients were young, under the age of 65 years old (77.3% and 72.5%) in the coiled and straight PD catheter group, respectively, and the main cause of ESRD was diabetes mellitus in both groups (78.7% vs. 92.2%). The demographic and anthropometric data were similar between both groups. Peritonitis rate (0.29 episodes/patient-years vs. 0.31 episodes/patient-years, P value = 0.909), exit site infection rate (0.31 episodes/patient-year vs. 0.37 episodes/patient-year, P value = 0.730), and tunnel tract infection rate (0.02 episodes/patient-year, P value = 0.430) were similar in the coiled versus straight PD catheter groups. The predominant organism causing peritonitis was the gram-negative organism; Escherichia coli and Klebsiella pneumoniae. In exit site and tunnel tract infections, there is a predominance of gram-negative organisms; Pseudomonas aeruginosa and K. pneumoniae.
Conclusions: There was no difference in infectious outcomes between the two different types of catheters. Type of organism in both groups was gram-negative. |
| first_indexed | 2024-03-06T10:44:48Z |
| format | Article |
| id | upm.eprints-88097 |
| institution | Universiti Putra Malaysia |
| language | English |
| last_indexed | 2024-03-06T10:44:48Z |
| publishDate | 2020 |
| publisher | Medknow Publications |
| record_format | dspace |
| spelling | upm.eprints-880972022-05-18T06:54:00Z http://psasir.upm.edu.my/id/eprint/88097/ Catheter-related infections and microbiological characteristics in coiled versus straight peritoneal dialysis catheters in Malaysia Abdul Rashid, Anna Misya'il Lim, Christopher Thiam Seong Background: Catheter-related infections remain a threat in peritoneal dialysis (PD) patients. Attempts to improve catheter insertion techniques and catheter type with best infectious outcomes yield heterogenous results. We seek to determine catheter-related infections in two different types of catheters and its microbiological spectrum. Methods: Retrospective cross-sectional study conducted in Hospital Serdang, Malaysia. We included end-stage renal disease (ESRD) patients who opted for PD and examined catheter-related infections (peritonitis, exit site infection, and tunnel tract infection) and organisms causing these infections. Results: We included 126 patients in this study; 75 patients received the coiled PD catheter (59.5%) and 51 patients received the straight PD catheter (40.5%). The majority of patients were young, under the age of 65 years old (77.3% and 72.5%) in the coiled and straight PD catheter group, respectively, and the main cause of ESRD was diabetes mellitus in both groups (78.7% vs. 92.2%). The demographic and anthropometric data were similar between both groups. Peritonitis rate (0.29 episodes/patient-years vs. 0.31 episodes/patient-years, P value = 0.909), exit site infection rate (0.31 episodes/patient-year vs. 0.37 episodes/patient-year, P value = 0.730), and tunnel tract infection rate (0.02 episodes/patient-year, P value = 0.430) were similar in the coiled versus straight PD catheter groups. The predominant organism causing peritonitis was the gram-negative organism; Escherichia coli and Klebsiella pneumoniae. In exit site and tunnel tract infections, there is a predominance of gram-negative organisms; Pseudomonas aeruginosa and K. pneumoniae. Conclusions: There was no difference in infectious outcomes between the two different types of catheters. Type of organism in both groups was gram-negative. Medknow Publications 2020 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/88097/1/ABSTRACT.pdf Abdul Rashid, Anna Misya'il and Lim, Christopher Thiam Seong (2020) Catheter-related infections and microbiological characteristics in coiled versus straight peritoneal dialysis catheters in Malaysia. Indian Journal of Nephrology, 31 (6). pp. 511-515. ISSN 0971-4065; ESSN: 1998-3662 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8722545/ 10.4103/ijn.IJN_238_20 |
| spellingShingle | Abdul Rashid, Anna Misya'il Lim, Christopher Thiam Seong Catheter-related infections and microbiological characteristics in coiled versus straight peritoneal dialysis catheters in Malaysia |
| title | Catheter-related infections and microbiological characteristics in coiled versus straight peritoneal dialysis catheters in Malaysia |
| title_full | Catheter-related infections and microbiological characteristics in coiled versus straight peritoneal dialysis catheters in Malaysia |
| title_fullStr | Catheter-related infections and microbiological characteristics in coiled versus straight peritoneal dialysis catheters in Malaysia |
| title_full_unstemmed | Catheter-related infections and microbiological characteristics in coiled versus straight peritoneal dialysis catheters in Malaysia |
| title_short | Catheter-related infections and microbiological characteristics in coiled versus straight peritoneal dialysis catheters in Malaysia |
| title_sort | catheter related infections and microbiological characteristics in coiled versus straight peritoneal dialysis catheters in malaysia |
| url | http://psasir.upm.edu.my/id/eprint/88097/1/ABSTRACT.pdf |
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