Incidence, possible causes and social aspects of the symptomatic introduction of disinfectant into the peritoneal cavity in CAPD.
The frequency and characteristics of episodes of accidental symptomatic introduction of Amuchina in CAPD patients has been retrospectively analyzed in patients treated with three different CAPD systems with disinfectant (two reusable Y set and one disposable Y set). The rate of accidental introduction of Amuchina was 1 episode every 8981 exchanges (1/8620 with the log Baxter Y set, 1/11,060 exchanges with the short Baxter Y set and with the Bieffe L3 system). One to 15 fresh dialysis exchanges were required to relief pain due to the introduction of disinfectant. Four patients were hospitalized and one had a long lasting impairment in peritoneal ultrafiltration. There were no significant correlations between the episodes and age, sex or time when the exchange was performed.
Division of Nephrology and Dialysis, IRCCS Hospital Maggiore of Milano, Italy.
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De Vecchi
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Scalamogna
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Castelnovo
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K
Artuso
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Brancadoro
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000891:Anti-Infective Agents, Local / Q000009:adverse effects*; D016009:Chi-Square Distribution; D003365:Costs and Cost Analysis; D005119:Extravasation of Diagnostic and Therapeutic Materials; D005260:Female; D006801:Humans; D006997:Hypochlorous Acid / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D010529:Peritoneal Cavity; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects* / Q000191:economics / Q000295:instrumentation; D012189:Retrospective Studies; D012965:Sodium Chloride / Q000009:adverse effects*
C057052:Amuchina; D000891:Anti-Infective Agents, Local; D012965:Sodium Chloride; D006997:Hypochlorous Acid