title: [Prevention of peritonitis during continuous ambulatory peritoneal dialysis. Value of disconnectable systems].
abstract: Peritonitis remains the major obstacle to the acceptance of continuous ambulatory peritoneal dialysis as a long-term dialysis technique. In January, 1985, Y connectors were introduced into our continuous ambulatory peritoneal dialysis programme, and a two-year prospective randomized trial for all new patients was initiated in which the Y connection system was compared with the conventional technique in the prevention of peritonitis (group I). At the same time, 16 patients (group II), with a high incidence of peritonitis episodes were switched from the conventional technique to the Y connection system, while 55 patients (group III), remained on the conventional technique. Group IA patients (27 new patients using the Y connection system), developed peritonitis every 23 patient-months. Group IB patients (28 new patients using the conventional technique), developed peritonitis every 12.2 patient-months. The difference between these two sub-groups was statistically significant (P less than 0.02). Before their transfer to the Y connection system, group II patients developed peritonitis every 10 patient-months and thereafter one every 24 patient-months (P less than 0.001). Group III patients were divided into 12 continuous cyclic peritoneal dialysis patients with peritonitis every 24 patients-months, and 43 continuous ambulatory peritoneal dialysis patients with peritonitis every 11.7 patient-months. The Y connector therefore proved to be a simple and safe procedure effective in reducing the peritonitis rate in patients on continuous ambulatory peritoneal dialysis.
authors.affiliation: Service de Néphrologie, Groupe Hospitalier Pitié-Salpêtrière.
authors.forename: J
authors.initials: J
authors.lastname: Rottembourg
authors.forename: R
authors.initials: R
authors.lastname: Brouard
authors.forename: B
authors.initials: B
authors.lastname: Issad
authors.forename: M
authors.initials: M
authors.lastname: Allouache
authors.forename: J
authors.initials: J
authors.lastname: Nguyen
authors.forename: M C
authors.initials: MC
authors.lastname: Montassine
authors.forename: E
authors.initials: E
authors.lastname: Kirstein
authors.forename: C
authors.initials: C
authors.lastname: Jacobs
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects* / Q000295:instrumentation / Q000379:methods; D010538:Peritonitis / Q000517:prevention & control*; D011446:Prospective Studies; D011897:Random Allocation
vernacular_title: Prévention des péritonites au cours de la dialyse péritonéale continue ambulatoire. Intérêt des systèmes déconnectables.