Remote patient management of peritoneal dialysis during COVID-19 pandemic.
Authors: Ronco C, Manani SM, Giuliani A, Tantillo I, Reis T, Brown EA PMID: 32597314 [PubMed - as supplied by publisher] (Source: Peritoneal Dialysis International)
Source: Peritoneal Dialysis International - July 1, 2020 Category: Urology & Nephrology Tags: Perit Dial Int Source Type: research

Nomenclature for Kidney Function and Disease: Executive Summary and Glossary From a Kidney Disease: Improving Global Outcomes (KDIGO) Consensus Conference.
This article is being published in Kidney International Reports and reprinted concurrently in several journals. The articles cover identical concepts and wording but vary in minor stylistic and spelling changes, detail, and length of manuscript, in keeping with each journal's style. Any of these versions may be used in citing this article. Excerpts are adapted with permission of KDIGO and the International Society of Nephrology. PMID: 32597692 [PubMed - as supplied by publisher] (Source: Peritoneal Dialysis International)
Source: Peritoneal Dialysis International - July 1, 2020 Category: Urology & Nephrology Tags: Perit Dial Int Source Type: research

Saving more young lives in Africa.
Authors: Cullis B, Lalya F, Smoyer WE PMID: 32552403 [PubMed - as supplied by publisher] (Source: Peritoneal Dialysis International)
Source: Peritoneal Dialysis International - June 21, 2020 Category: Urology & Nephrology Tags: Perit Dial Int Source Type: research

Acute peritoneal dialysis in COVID-19.
Authors: Parapiboon W, Ponce D, Cullis B PMID: 32552550 [PubMed - as supplied by publisher] (Source: Peritoneal Dialysis International)
Source: Peritoneal Dialysis International - June 21, 2020 Category: Urology & Nephrology Tags: Perit Dial Int Source Type: research

Contrast-enhanced ultrasound: A novel diagnostic approach for the detection of peritoneal dialysis catheter leakages.
Authors: Ksiazek SH, Schuster H, Säemann MD, Vychytil A, Göndör G PMID: 32546055 [PubMed - as supplied by publisher] (Source: Peritoneal Dialysis International)
Source: Peritoneal Dialysis International - June 18, 2020 Category: Urology & Nephrology Tags: Perit Dial Int Source Type: research

Treatments and outcomes of encapsulating peritoneal sclerosis in patients undergoing peritoneal dialysis: 295 cases from a nationwide inpatient database in Japan.
Authors: Konishi T, Fujiogi M, Michihata N, Morita K, Matsui H, Fushimi K, Tanabe M, Seto Y, Yasunaga H Abstract BACKGROUND: The number of patients undergoing renal replacement therapy is increasing. We evaluated the practice patterns and outcomes of encapsulating peritoneal sclerosis (EPS) in patients undergoing peritoneal dialysis. METHODS: Using a Japanese national inpatient database, we identified 295 patients with EPS who were hospitalized from July 2010 to March 2017. We categorized them into four groups: those who underwent surgery only (n = 39), those who received corticosteroid treatment only (n = 70),...
Source: Peritoneal Dialysis International - June 11, 2020 Category: Urology & Nephrology Tags: Perit Dial Int Source Type: research

Effect of uric acid levels on mortality in Japanese peritoneal dialysis patients.
Authors: Sugano N, Maruyama Y, Ohno I, Wada A, Shigematsu T, Masakane I, Yokoo T, Nitta K Abstract BACKGROUND: Unlike the situation in the general population, most studies of patients receiving hemodialysis have reported lower uric acid (UA) as associated with higher mortality. However, the relationship between UA level and mortality remains unclear among patients receiving peritoneal dialysis (PD). METHODS: We collected baseline data for 4742 prevalent PD patients (age, 63 ± 14 years; male, 61.5%; diabetes, 29.1%; median dialysis duration, 28 months) from a nationwide dialysis registry in Japan at the e...
Source: Peritoneal Dialysis International - June 7, 2020 Category: Urology & Nephrology Tags: Perit Dial Int Source Type: research

Ten-year survival of patients treated with peritoneal dialysis: A prospective observational cohort study.
CONCLUSIONS: The 10-year's survival and technique survival rates of incident PD patients were 36% and 62%. Long-term PD can be continued successfully with improved outcomes and low risk for EPS. PMID: 32489134 [PubMed - as supplied by publisher] (Source: Peritoneal Dialysis International)
Source: Peritoneal Dialysis International - June 4, 2020 Category: Urology & Nephrology Tags: Perit Dial Int Source Type: research

Surgical correction of hydrothorax complicating pediatric peritoneal dialysis.
We present 2 pediatric cases who underwent successful direct surgical repair of diaphragmatic defects using VATS with return to CCPD. Initial approach with VATS should be strongly considered in patients in whom a lifetime change in modality has significant repercussions. PMID: 32431210 [PubMed - as supplied by publisher] (Source: Peritoneal Dialysis International)
Source: Peritoneal Dialysis International - May 22, 2020 Category: Urology & Nephrology Tags: Perit Dial Int Source Type: research

Mycobacterium septicum associated peritonitis: A case report.
We report the first case of PD-associated peritonitis secondary to Mycobacterium septicum. The patient is a 53-year-old Caucasian man who developed end-stage kidney disease due to systemic sclerosis. He was initially started on intermittent hemodialysis and was then switched to PD 10 months later. He presented with generalized abdominal pain and an increase in the number of nucleated cells and neutrophils in the dialysate effluent sample (854 total nucleated cells/µL and 512 neutrophils/µL). Ten days later, the fluid grew M. septicum, a rapidly growing nontuberculous mycobacterium (NTM). Once the organism was i...
Source: Peritoneal Dialysis International - May 21, 2020 Category: Urology & Nephrology Tags: Perit Dial Int Source Type: research

Single-dwell treatment with a low-sodium solution in hypertensive peritoneal dialysis patients.
CONCLUSIONS: Superiority of low-Na PD solution over standard-Na solution for control of BP could not be shown. The once daily use of a low-Na PD solution was associated with more hypotensive episodes, suggesting the need to reassess the overall concept of how Na-reduced solutions might be incorporated within the treatment schedule. PMID: 32425111 [PubMed - as supplied by publisher] (Source: Peritoneal Dialysis International)
Source: Peritoneal Dialysis International - May 21, 2020 Category: Urology & Nephrology Tags: Perit Dial Int Source Type: research

Salvation of peritoneal dialysis catheter potency by using an angiographic guidewire.
In this report, we present two cases of catheter obstruction caused by intraluminal clots of PD catheter. The clots, which could not be removed by the conservative management, were removed by a new technique using an angiographic guidewire. The technique could be an option to resolve PD catheter obstruction. PMID: 32425132 [PubMed - as supplied by publisher] (Source: Peritoneal Dialysis International)
Source: Peritoneal Dialysis International - May 21, 2020 Category: Urology & Nephrology Tags: Perit Dial Int Source Type: research

Nontuberculous mycobacteria infections of peritoneal dialysis patients: A multicenter study.
CONCLUSIONS: Culture negative peritonitis, isolation of diphtheroids or Corynebacterium spp., previous exposure to antibiotics, and/or a refractory infection should all prompt consideration of PD-related NTM infection and timely workup. Catheter removal is recommended aside prolonged antimicrobial therapy. In select patients with ESI, continuation of PD may be feasible. PMID: 32400280 [PubMed - as supplied by publisher] (Source: Peritoneal Dialysis International)
Source: Peritoneal Dialysis International - May 15, 2020 Category: Urology & Nephrology Tags: Perit Dial Int Source Type: research

Salvage of the peritoneal dialysis catheter in Candida peritonitis using amphotericin B catheter lock.
This study confirms our previous findings that an amphotericin B lock-based protocol has potential to cure Candida peritonitis without PD catheter removal. However, further research is needed given the limitations of this study. Until that time, the lock-based Candida protocol could be used in patients who are not severely ill and in whom PD catheter removal is not desirable. PMID: 32400305 [PubMed - as supplied by publisher] (Source: Peritoneal Dialysis International)
Source: Peritoneal Dialysis International - May 15, 2020 Category: Urology & Nephrology Tags: Perit Dial Int Source Type: research

High alkaline phosphatase and low intact parathyroid hormone associate with worse clinical outcome in peritoneal dialysis patients.
CONCLUSIONS: The combination of high ALP and low iPTH was independently associated with increased all-cause and cardiovascular mortality in PD patients, suggesting that ALP and iPTH have the potential to predict clinical outcomes and might be useful risk assessment tools in PD patients. Further studies exploring the observed association between combination of ALP with iPTH and mortality are warranted. PMID: 32363998 [PubMed - as supplied by publisher] (Source: Peritoneal Dialysis International)
Source: Peritoneal Dialysis International - May 5, 2020 Category: Urology & Nephrology Tags: Perit Dial Int Source Type: research

Prescribing peritoneal dialysis - a new guideline from the International Society of Peritoneal Dialysis.
Authors: Wilkie M PMID: 32352356 [PubMed - in process] (Source: Peritoneal Dialysis International)
Source: Peritoneal Dialysis International - May 2, 2020 Category: Urology & Nephrology Tags: Perit Dial Int Source Type: research

Use of locally prepared peritoneal dialysis (PD) fluid for acute PD in children and infants in Africa.
CONCLUSIONS: Locally prepared PD solutions at the bedside adapted from intravenous solutions can be used safely and effectively. This has important relevance for centres in less well-resourced countries, where commercially produced PD fluid is not available for the management of AKI. PMID: 32323622 [PubMed - as supplied by publisher] (Source: Peritoneal Dialysis International)
Source: Peritoneal Dialysis International - April 25, 2020 Category: Urology & Nephrology Tags: Perit Dial Int Source Type: research

Reply to letter from A Karkar.
Authors: Brown EA, Boudville N, Finkelstein F, Johnson D, Liew A, Moraes T, Teitelbaum I, Warady B PMID: 32323625 [PubMed - as supplied by publisher] (Source: Peritoneal Dialysis International)
Source: Peritoneal Dialysis International - April 25, 2020 Category: Urology & Nephrology Tags: Perit Dial Int Source Type: research

Persistent exit-site infection in peritoneal dialysis - An unrecognized window to abdominal viscera.
Authors: Domingos AT, Malho Guedes A, Mendes FB, Vidinha J, Bernardo I, Neves PL Abstract Exit-site (ES) infection is a common complication in peritoneal dialysis (PD). Pseudomonas spp. is particularly difficult to treat, and catheter removal should be considered in persistent infections. The authors present a chronic ES infection resistant to directed antibiotic therapy in which catheter salvage was not possible. Removal was very difficult due to the presence of white sponge-like tissue with petrous consistency surrounding the catheter, all the way into the peritoneum. Histology revealed well-differentiated adenoc...
Source: Peritoneal Dialysis International - April 25, 2020 Category: Urology & Nephrology Tags: Perit Dial Int Source Type: research

Unusual peritoneal dialysis fluid culture: Think secondary peritonitis.
Authors: Cheema RS, Manandhar AK, Willis AP, David MD, Kamesh L PMID: 32329401 [PubMed - as supplied by publisher] (Source: Peritoneal Dialysis International)
Source: Peritoneal Dialysis International - April 25, 2020 Category: Urology & Nephrology Tags: Perit Dial Int Source Type: research

In memoriam: Jiaqi Qian, 1939-2019: Pioneer of PD in China.
Authors: Lindholm B, Davies SJ, Yao Q, Yu Z, Fang W, Ni Z PMID: 32329407 [PubMed - as supplied by publisher] (Source: Peritoneal Dialysis International)
Source: Peritoneal Dialysis International - April 25, 2020 Category: Urology & Nephrology Tags: Perit Dial Int Source Type: research

Changes in mortality hazard of the Korean long-term dialysis population: The dependencies of time and modality switch.
CONCLUSIONS: PD was associated with increased HR of mortality in the first 8 years, then it was associated with decreased HR of mortality after 10 years. Dialysis modality switch was associated with increased mortality risk, but switch from PD to HD within 6 years did not show significant hazard of mortality. PMID: 32319853 [PubMed - as supplied by publisher] (Source: Peritoneal Dialysis International)
Source: Peritoneal Dialysis International - April 24, 2020 Category: Urology & Nephrology Tags: Perit Dial Int Source Type: research

Urgent-start peritoneal dialysis in chronic kidney disease patients: A systematic review and meta-analysis compared with planned peritoneal dialysis and with urgent-start hemodialysis.
Authors: Xieyi G, Xiaohong T, Xiaofang W, Zi L Abstract An increasing number of studies have focused on whether peritoneal dialysis (PD) can be used for the urgent initiation of dialysis in patients with chronic kidney disease (CKD). We performed this systematic review and meta-analysis to evaluate the feasibility and safety of urgent-start PD compared with those of planned PD and urgent-start hemodialysis (HD) in this population. PubMed, EMBASE, the Cochrane Central Register of Controlled Trials (CENTRAL), clinicaltrials.gov , and China National Knowledge Infrastructure (CNKI) were searched for relevant studies. C...
Source: Peritoneal Dialysis International - April 24, 2020 Category: Urology & Nephrology Tags: Perit Dial Int Source Type: research

Associations between diabetes and sex with peritoneal dialysis technique and patient survival: Results from the Australia and New Zealand Dialysis and Transplant Registry cohort study.
CONCLUSIONS: PD patients with diabetic nephropathy had increased risk of PD technique failure and mortality, with the magnitude of these risks greater in women. PMID: 32319873 [PubMed - as supplied by publisher] (Source: Peritoneal Dialysis International)
Source: Peritoneal Dialysis International - April 24, 2020 Category: Urology & Nephrology Tags: Perit Dial Int Source Type: research

Peritoneal Dialysis in the time of COVID-19.
Authors: Wilkie M, Davies S PMID: 32312176 [PubMed - as supplied by publisher] (Source: Peritoneal Dialysis International)
Source: Peritoneal Dialysis International - April 22, 2020 Category: Urology & Nephrology Tags: Perit Dial Int Source Type: research

Use of catheterography to diagnose a peritoneal dialysis catheter misplaced in the rectus sheath following percutaneous insertion.
Authors: Yang Y, Liao Y, Yuan Z, Xiong Z, Xiong Z PMID: 32314652 [PubMed - as supplied by publisher] (Source: Peritoneal Dialysis International)
Source: Peritoneal Dialysis International - April 22, 2020 Category: Urology & Nephrology Tags: Perit Dial Int Source Type: research

International Society for Peritoneal Dialysis Practice Recommendations: The view of the person who is doing or who has done peritoneal dialysis.
Authors: Corbett RW, Goodlet G, MacLaren B, Jolliffe A, Joseph A, Lu C, Silva CCFD, Soni B, Wicks M, Brown EA, Blake PG Abstract The 2019 International Society for Peritoneal Dialysis (ISPD) Practice Recommendations were prepared by a committee invited by the ISPD to develop new practice recommendations for prescribing high-quality, goal-directed peritoneal dialysis (PD). Further input was sought at the stage of the first draft of the proposed recommendations by circulating drafts of the recommendations and articles to an international selection of people who were either actively doing PD or who were previously tre...
Source: Peritoneal Dialysis International - April 19, 2020 Category: Urology & Nephrology Tags: Perit Dial Int Source Type: research

eHealth interventions to support patients in delivering and managing peritoneal dialysis at home: A systematic review.
Authors: Cartwright EJ, Zs Goh Z, Foo M, Chan CM, Htay H, Griva K Abstract Peritoneal dialysis (PD) requires patients to develop a variety of self-management skills in order to effectively deliver and manage their dialysis at home. eHealth interventions may provide patients with accessible information to develop the skills and knowledge they require to manage their treatment. This review aims to identify and evaluate 'active' eHealth interventions in supporting patients on PD. Six databases were included within the review using the terms Peritoneal Dialysis, eHealth, telemedicine and remote consultation. Studies wh...
Source: Peritoneal Dialysis International - April 19, 2020 Category: Urology & Nephrology Tags: Perit Dial Int Source Type: research

Response to: International Society for Peritoneal Dialysis practice recommendations: Prescribing high-quality goal-directed peritoneal dialysis.
Authors: Karkar A PMID: 32281482 [PubMed - as supplied by publisher] (Source: Peritoneal Dialysis International)
Source: Peritoneal Dialysis International - April 15, 2020 Category: Urology & Nephrology Tags: Perit Dial Int Source Type: research

Polymerase chain reaction/electrospray ionization-mass spectrometry (PCR/ESI-MS) is not suitable for rapid bacterial identification in peritoneal dialysis effluent.
CONCLUSIONS: The PCR/ESI-MS assay could not identify the causative organism in over 50% of the PD effluent samples in patients with PD-related peritonitis and should be not used for such purpose. The reason for the poor performance needs further investigation. PMID: 32274970 [PubMed - as supplied by publisher] (Source: Peritoneal Dialysis International)
Source: Peritoneal Dialysis International - April 12, 2020 Category: Urology & Nephrology Tags: Perit Dial Int Source Type: research

Minimally invasive 'pull technique' for peritoneal dialysis catheter removal.
Authors: Wang J, Li XS, Zhang FX, Wang RX, Cao F, Tang XH, Chen XQ, Hong B Abstract A simple, noninvasive method for removing peritoneal dialysis (PD) catheters, called the "pull technique," has become popular in recent years. Physicians still worry, however, about the range of its application and possible complications such as infection of the retained cuff and breakage. We, therefore, applied this technique in patients and enriched its administration for removing PD catheters. Altogether, 24 PD catheter removals in 24 patients were reviewed during the period from July 2018 to October 2019 in our hospita...
Source: Peritoneal Dialysis International - April 2, 2020 Category: Urology & Nephrology Tags: Perit Dial Int Source Type: research

Urgent-start dialysis: Comparison of complications and outcomes between peritoneal dialysis and haemodialysis.
This study aimed to compare infectious and mechanical complications related to urgent-start PD and HD. Secondary outcomes were to identify risk factors for complications and mortality related to urgent-start dialysis. METHODS: A quasi-experimental study with incident patients receiving PD and HD in a Brazilian university hospital, between July 2014 and December 2017. Subjects included individuals with final-stage chronic kidney disease who required immediate RRT, that is, HD through central venous catheter or PD in which the catheter was implanted by a nephrologist and utilized for 72 h, without previous training. Pati...
Source: Peritoneal Dialysis International - April 2, 2020 Category: Urology & Nephrology Tags: Perit Dial Int Source Type: research

Eosinophilic peritonitis induced by sucroferric oxyhydroxide.
Authors: Minato S, Miyazawa H, Kitano T, Shindo M, Ito K, Ueda Y, Hirai K, Hoshino T, Ookawara S, Morishita Y Abstract A 49-year-old woman developed eosinophilic peritonitis 2 months after starting continuous ambulatory peritoneal dialysis because of congenital right kidney hypoplasia and chronic glomerulonephritis. This was shown to have been induced by sucroferric oxyhydroxide, an iron-based phosphate binder, using a drug-induced lymphocyte stimulation test. Her eosinophilic peritonitis was improved after stopping the administration of sucroferric oxyhydroxide without providing any immunosuppressive agents. P...
Source: Peritoneal Dialysis International - March 30, 2020 Category: Urology & Nephrology Tags: Perit Dial Int Source Type: research

ERRATUM: Risk factors for loss of residual renal function in children with end-stage renal disease undergoing automatic peritoneal dialysis.
Authors: PMID: 32175815 [PubMed - as supplied by publisher] (Source: Peritoneal Dialysis International)
Source: Peritoneal Dialysis International - March 18, 2020 Category: Urology & Nephrology Tags: Perit Dial Int Source Type: research

Flexibility in peritoneal dialysis prescription: Impact on technique survival.
CONCLUSION: Tailoring the PD prescription to RKF enables days off dialysis while still maintaining recommended levels of small solute clearance. This approach reduces dialysis burden and is associated with higher technique survival. PMID: 32162582 [PubMed - as supplied by publisher] (Source: Peritoneal Dialysis International)
Source: Peritoneal Dialysis International - March 13, 2020 Category: Urology & Nephrology Tags: Perit Dial Int Source Type: research

Bacterial pathogens in peritoneal dialysis peritonitis: Insights from next-generation sequencing.
CONCLUSIONS: For the clinician, our results suggest that PD peritonitis may often be a polymicrobial disease and that treating a dominant organism may not totally eradicate all bacterial contamination within the peritoneum. For the clinical scientist, additional use of a larger 16S rRNA segment (V5 or V6) is likely to outperform the use of the V4 segment only. PMID: 32162597 [PubMed - as supplied by publisher] (Source: Peritoneal Dialysis International)
Source: Peritoneal Dialysis International - March 13, 2020 Category: Urology & Nephrology Tags: Perit Dial Int Source Type: research

Clofazimine in Mycobacterium abscessus peritonitis: A pediatric case report.
We report, to our knowledge, the first case of M. abscessus PD peritonitis in a child treated successfully using clofazimine as a novel adjuvant therapy to amikacin and clarithromycin. Her clinical features were similar to those of bacterial peritonitis, but she had persistence of symptoms and high inflammatory markers despite empirical therapy for peritonitis. Bacterial culture of PD effluent became positive for M. abscessus after 5 days. There was complete symptom resolution after 6 days of multidrug therapy. Due to ototoxicity, amikacin was discontinued after 6 weeks, while clarithromycin and clofazimine were continued ...
Source: Peritoneal Dialysis International - March 10, 2020 Category: Urology & Nephrology Tags: Perit Dial Int Source Type: research

Peritonitis after endoscopic marking in a peritoneal dialysis patient: Could it be chemical?
Authors: Gallo P, Ferro G, Benedetti I, Somma C, Dattolo PC PMID: 32103701 [PubMed - as supplied by publisher] (Source: Peritoneal Dialysis International)
Source: Peritoneal Dialysis International - February 29, 2020 Category: Urology & Nephrology Tags: Perit Dial Int Source Type: research

Prevalence and risk factors of exit-site infection in incident peritoneal dialysis patients.
CONCLUSIONS: The prevalence of ESI was 0.13 episodes per year. Poor competency of ES care, catheter mobilization, history of catheter-pulling injury, and mechanical stress by waist belt or the protective bag of PD on ES were risk factors for ESI. PMID: 32072873 [PubMed - in process] (Source: Peritoneal Dialysis International)
Source: Peritoneal Dialysis International - February 21, 2020 Category: Urology & Nephrology Tags: Perit Dial Int Source Type: research

The North American PD Catheter Registry.
Authors: Wilkie M PMID: 32072874 [PubMed - in process] (Source: Peritoneal Dialysis International)
Source: Peritoneal Dialysis International - February 21, 2020 Category: Urology & Nephrology Tags: Perit Dial Int Source Type: research

Successful diagnosis of dialysate leaks using indocyanine green in peritoneal dialysis patients: Case reports of two patients.
Authors: Ma Y, Geng Y, Li Z, Lu W, Lv J PMID: 32072875 [PubMed - in process] (Source: Peritoneal Dialysis International)
Source: Peritoneal Dialysis International - February 21, 2020 Category: Urology & Nephrology Tags: Perit Dial Int Source Type: research

Person-Centred High Quality Peritoneal Dialysis.
Authors: Wilkie M PMID: 32063139 [PubMed - in process] (Source: Peritoneal Dialysis International)
Source: Peritoneal Dialysis International - February 19, 2020 Category: Urology & Nephrology Tags: Perit Dial Int Source Type: research

Use of denosumab to treat refractory hypercalcemia in a peritoneal dialysis patient with immobilization and tertiary hyperparathyroidism.
Authors: Pratt RM, West ML, Tennankore KK Abstract Hypercalcemia due to excess parathyroid hormone (PTH) production is a common condition among patients with end-stage renal disease (ESRD), often referred to as tertiary hyperparathyroidism. There are limited effective medical treatment options currently available for such patients. Denosumab is a monoclonal antibody that inhibits osteoclast activation, thereby reducing calcium release from bones. Denosumab has been used to treat medically-refractory hypercalcemia in non-ESRD patients with hyperparathyroidism. Denosumab has also been used to treat non-PTH-mediated h...
Source: Peritoneal Dialysis International - February 19, 2020 Category: Urology & Nephrology Tags: Perit Dial Int Source Type: research

Clinical and dialysis outcomes of manual chronic peritoneal dialysis in low-body-weight children from a low-to-middle-income country.
CONCLUSIONS: Despite all the challenges, manual CPD is a feasible modality of dialysis in young children with LBW, and their outcomes are comparable to older children even in low-to-middle-income countries. Appropriate early management of associated complications and improving dialysis adequacy are necessary to improve the outcomes in these children. PMID: 32063141 [PubMed - in process] (Source: Peritoneal Dialysis International)
Source: Peritoneal Dialysis International - February 19, 2020 Category: Urology & Nephrology Tags: Perit Dial Int Source Type: research

Evaluation of T2Candida Panel for detection of Candida in peritoneal dialysates.
Authors: Kouri AM, Kieffer TW, Nailescu C, Leiser J, Schmitt BH, Relich RF, Davis TE, Manaloor JJ Abstract Fungal peritonitis in the peritoneal dialysis population is difficult to diagnose promptly due to the inherently slow cultivation-based methods currently required for identification of peritonitis pathogens. Because of the moderate risk for severe complications, the need for rapid diagnostics is considerable. One possible solution to this unmet need is the T2Candida Panel, a new technology designed to detect the most common pathogenic Candida spp. directly from whole blood specimens in as little as a few hours...
Source: Peritoneal Dialysis International - February 19, 2020 Category: Urology & Nephrology Tags: Perit Dial Int Source Type: research

Gender differences in peritoneal dialysis initiation in the US end-stage renal disease population.
Authors: Vogel SL, Singh T, Astor BC, Waheed S Abstract BACKGROUND: Overall, a disproportionately small number of end-stage renal disease (ESRD) patients start peritoneal dialysis (PD) in the United States compared to hemodialysis. Little is known about whether gender has an effect on the initial modality of renal replacement therapy utilized by patients; however, prior studies have demonstrated gender disparities in the diagnosis and treatment of various other health conditions, including kidney disease. METHODS: Using data from the United States Renal Data System (USRDS), we estimated the proportion of patien...
Source: Peritoneal Dialysis International - February 19, 2020 Category: Urology & Nephrology Tags: Perit Dial Int Source Type: research

Incidence and risk factors of peritoneal dialysis-related peritonitis in elderly patients: A retrospective clinical study.
This study was to analyze the incidence, risk factors, and clinical outcomes of peritonitis in elderly continuous ambulatory peritoneal dialysis (CAPD) patients. METHODS: Incident patients undergone CAPD from 1 January 2006 to 30 June 2015 in our center were enrolled and divided into aged
Source: Peritoneal Dialysis International - February 19, 2020 Category: Urology & Nephrology Tags: Perit Dial Int Source Type: research

The culture from peritoneal dialysis catheter enhances yield of microorganism identification in peritoneal dialysis-related peritonitis.
Authors: Kanjanabuch T, Puapatanakul P, Saejew T, Pavatung P, Manuprasert W, Leelahavanichkul A, Chatsuwan T, Udomsantisuk N Abstract An additional yield of culture from the removed peritoneal dialysis (PD) catheter in diagnosis of pathogen causing refractory peritonitis was assessed in 118 eligible patients from 7 PD centers. Peritoneal dialysis fluid (PDF) culture identified organisms in 86 (72.9%) patients, while the catheter culture identified organisms in 55 (46.6%) patients. PD catheter culture could additionally identify organisms in 19 patients whose PDF culture were negative, increasing the positive cultur...
Source: Peritoneal Dialysis International - February 19, 2020 Category: Urology & Nephrology Tags: Perit Dial Int Source Type: research

Tension-free mesh repair of inguinal hernia in patients on continuous ambulatory peritoneal dialysis.
CONCLUSIONS: Tension-free mesh repair is associated with low morbidity and low recurrence rates in PD patients. Timely management and close collaboration with renal physicians are essential to continue PD after repair. PMID: 32063146 [PubMed - in process] (Source: Peritoneal Dialysis International)
Source: Peritoneal Dialysis International - February 19, 2020 Category: Urology & Nephrology Tags: Perit Dial Int Source Type: research

Estimating total small solute clearance in patients treated with continuous ambulatory peritoneal dialysis without urine and dialysate collection.
CONCLUSIONS: Total small solute clearance can be estimated moderately well in continuous ambulatory PD patients using serum creatinine and demographic variables without urine and dialysate collection. PMID: 32063147 [PubMed - in process] (Source: Peritoneal Dialysis International)
Source: Peritoneal Dialysis International - February 19, 2020 Category: Urology & Nephrology Tags: Perit Dial Int Source Type: research