THE RISK FACTORS AND CLINICAL OUTCOME OF PERITONEAL DIALYSIS PATIENTS WITH EXIT SITE INFECTION
Keywords:
Peritoneal dialysis, Exit site infection, Risk factorsAbstract
This research objective was to study the risk factors and clinical outcomes of exit site infection (ESI) in peritoneal dialysis (PD) patients in Srinagarind Hospital. The retrospective study was conducted in PD clinic at Srinagarind Hospital between January 2013 to May 2020. The Data of baseline characteristic, PD prescription, rate of ESI, antibiotic administration, technique and patient’s survival were collected from medical record and hospital database system. The risk factors of ESI were evaluated by logistic regression analysis.From data of 265 PD patients in this study, there was no different in baseline characteristic (sex, age and educational status) between patients with and without ESI. When analyzed in PD related factor found that patients who implant catheter by surgeon in operative room, PD care giver’s education under elementary degree and patients with history of PD related peritonitis will increase risk for ESI 1.88, 2.96 and 1.75 times respectively.There was significantly increased risk for catheter removal from non-reposed to treatment in patients with chronic ESI and tunnel infection and ESI caused by pseudomonas and fungus
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