Three year prospective follow up of the peritoneal access.
Peritoneal access-related complications were prospectively studied in 54 peritoneal catheters placed in 49 patients between January 1994 and December 96 in a single centre. There were no perioperative complications. Five (9%) catheters were removed because of catheter-derived complications (3 outflow obstruction, 2 leak), 4 (7.4%) because of peritonitis and 1 was spontaneously extruded. Complications included 4 (7.4%) migrations with outflow obstruction, 6 (11%) leaks and 27 episodes of exit site infection occurring in 16 (30%) catheters. Six catheters suffered more than one infection. Exit site infection in the first month after catheter placement is a risk factor for multiple exit site infections by different bacteria and for catheter removal.
Reyero
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Peritoneal Dialysis Unit, Fundación Jiménez Díaz, Madrid, Spain.
Galera
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D002408:Catheters, Indwelling / Q000009:adverse effects*; D003428:Cross Infection / Q000209:etiology*; D004868:Equipment Failure; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy; D008297:Male; D008875:Middle Aged; D010530:Peritoneal Dialysis / Q000009:adverse effects* / Q000295:instrumentation*; D010538:Peritonitis / Q000209:etiology*; D011446:Prospective Studies; D016896:Treatment Outcome