論文

査読有り 国際誌
2018年4月1日

Association between keeping home records of catheter exit-site and incidence of peritoneal dialysis-related infections

International Urology and Nephrology
  • Hidekazu Iida
  • ,
  • Noriaki Kurita
  • ,
  • Shino Fujimoto
  • ,
  • Yuka Kamijo
  • ,
  • Yoshitaka Ishibashi
  • ,
  • Shingo Fukuma
  • ,
  • Shunichi Fukuhara

50
4
開始ページ
763
終了ページ
769
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1007/s11255-018-1789-x
出版者・発行元
SPRINGER

To prevent peritoneal dialysis (PD)-related infection, components of self-catheter care have been emphasized. However, studies on the effectiveness of home recording for the prevention of PD-related infections are limited. This study aimed to examine the association between keeping home records of catheter exit site and incidence of PD-related infections.Home record books were submitted by patients undergoing PD. The proportion of days on which exit-site home recording was carried out for 120 days (0-100%) was obtained. The patients were divided into the frequent home recording group (>= 40.5%; median value) and the infrequent home recording group (< 40.5%). The associations between the recording group and the incidence rate ratios (IRRs) of PD-related infections were estimated via negative binomial regression models.A total of 67 patients participated in this study (mean age, 66.7 years). The incidence rates for exit-site infection, tunnel infection, and peritonitis were 0.42, 0.22, and 0.06 times/patient-year, respectively. The IRRs of the frequent versus infrequent home recording groups for PD-related infection were 1.58 (95% confidence interval [CI], 0.72-3.46) in the univariate analysis and 1.49 (95% CI, 0.65-3.42) in the multivariate analysis. The IRRs of the frequent versus infrequent home recording groups for composite of surgery to create a new exit site and removal of PD catheter were 0.55 (95% CI, 0.78-3.88) and 0.35 (95% CI, 0.06-1.99), respectively.This study could not prove that keeping home records of patients' catheter exit site is associated with a lower incidence of PD-related infections.

リンク情報
DOI
https://doi.org/10.1007/s11255-018-1789-x
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/29349637
Web of Science
https://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=JSTA_CEL&SrcApp=J_Gate_JST&DestLinkType=FullRecord&KeyUT=WOS:000428935900020&DestApp=WOS_CPL
Scopus
https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85040779779&origin=inward
Scopus Citedby
https://www.scopus.com/inward/citedby.uri?partnerID=HzOxMe3b&scp=85040779779&origin=inward
ID情報
  • DOI : 10.1007/s11255-018-1789-x
  • ISSN : 0301-1623
  • eISSN : 1573-2584
  • PubMed ID : 29349637
  • SCOPUS ID : 85040779779
  • Web of Science ID : WOS:000428935900020

エクスポート
BibTeX RIS