The Incidence and Risk Factors of The First Peritonitis Episode in Continuous Ambulatory Peritoneal Dialysis Patients in Phatthalung Hospital

Abstract

This study was a cross-sectional study using a prevalence study. The objective was to study the incidence and risk factors of first peritoneal infection in continuous peritoneal dialysis patients, at Phatthalung Hospital. The sample was selected from patients with end-stage kidney failure peritoneal dialysis. 151 sample size was used as a systematic method. The tools consisted of 1) an incidence data questionnaire, 2) a general data questionnaire, 3) factors in the channels of infection questionnaire, and 4) an environmental factors questionnaire. The reliabilities of 3 and 4, yielding Cronbach’s alpha coefficients equal to 0.90 and 0.81, respectively. Data collection was collected between October 2018 and December 2022. Data were analyzed using descriptive statistics Odds Ratio, and Chi-square.

The results of the research found that the incidence of first peritoneal infection among peritoneal dialysis patients at Phatthalung Hospital accounting for 40.40 percent, personal factors. It was found that income per household, education level, patients with diabetes was significantly associated with the first episode of peritoneal infection (p-value < 0.05). Channel of infection: It was found that contamination occurred while changing the solution. Infection through the dialysis catheter, infection through the digestive system, and vaginal and uterine infections. There was a statistically significant association with the occurrence of first peritoneal infection among peritoneal dialysis patients (p-value < 0.05) for bloodstream infections. It was found that there was no relationship (p-value > 0.05).

Environmental factors were found to open the window while changing the dialysis solution. Sweeping and mopping the floor every day before changing the dialysis solution. Cleaning the side walls before dialysis, having pets in the house, and turning on the fan during dialysis. The association with the occurrence of first peritoneal infection among peritoneal dialysis patients was statistically significant (p-value < 0.05).

From the results of this study, the results of the study were used to monitor both individual factors, channel of infection from pathological examination results, environment where the washing solution can be changed to continue reducing the risk factors for first peritoneal infection in peritoneal dialysis patients.