title: Multiple use of disposable (tubing) set of HomeChoice automated peritoneal dialysis (APD) system in PD patients.
abstract: Our objective was to evaluate the multiple use of the tubing set of the HomeChoice automated peritoneal dialysis (PD) system in PD patients. The study was designed to reuse the tubing set of the HomeChoice automated PD system for two to seven treatments, each of 16-24 hours duration, in end-stage renal disease (ESRD) patients, and to continue to use the same set if the patient was disconnected for any reason. In a tertiary-referral university hospital, 17 ESRD patients on PD, admitted to a university hospital from January, 1995 to September, 1995, were studied. The patients were disconnected and connected in between or during PD treatments. Five-liter bags were used. All the fluid was either set initially or added as clinically indicated. One hundred and thirty-eight PD treatments were performed with the HomeChoice automated PD system, using 30 disposable (tubing) sets. Sixty-three disconnections were made for ambulation, transfer to other units, surgery, physical therapy, radiological investigations, and special procedures in between and during PD treatments. No episode of peritonitis occurred. The multiple use resulted in a 78% reduction in tubing sets and drain-line extension sets used, thereby reducing the disposable supplies and creating a substantial saving in nursing time. The multiple use of tubing sets of the HomeChoice automated PD system was safe and economical in patients undergoing automated PD in a hospital setting.
authors.affiliation: Department of Medicine, State University of New York at Stony Brook, USA.
authors.forename: N K
authors.initials: NK
authors.lastname: Wadhwa
authors.forename: T
authors.initials: T
authors.lastname: Cabralda
authors.forename: H
authors.initials: H
authors.lastname: Suh
authors.forename: C
authors.initials: C
authors.lastname: Cascio
authors.forename: B
authors.initials: B
authors.lastname: Folz
authors.forename: C
authors.initials: C
authors.lastname: LaVeglia
authors.forename: J
authors.initials: J
authors.lastname: Stratos
mesh_terms: D002408:Catheters, Indwelling; D004209:Disposable Equipment; D017743:Equipment Reuse; D004869:Equipment Safety; D005260:Female; D018575:Home Care Services, Hospital-Based; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D010530:Peritoneal Dialysis / Q000295:instrumentation*