Affiliation:
1. Department of Medicine, Prince of Wales Hospital, Chinese University of Hong Kong, Hong Kong
Abstract
We conducted a single-blind, prospective randomized study on the use of the V -set disconnect system (Uttraset) (U) versus the conventional (C) spike system to assess the peritonitis rate, exit-site infection (ESt), clinical outcome, the resulting hospitalization rate, and recurrent costs. Forty new end-stage renal failure patients admitted to the dialysis program were recruited into the study and 20 each were randomly allocated to the U and C systems. They were studied for a period of 12 months. The mean number of days required to train patients for the U and C systems were 8.6 and 9.8 days, respectively. The peritonitis rates for the U and C systems were one episode every 17 and 11.4 patient-months, respectively. The ESI rates for the U and C systems were one episode every 26.4 and 21.6 patient-months, respectively. Four catheters were removed due to fungal peritonitis (three with the C system and one with the U system). As related to peritonitis, patients on the C system required 57 hospital-days while those on the U system required 28 days per year. On cost analysis, the extra cost required for the U system can be offset by the other expenses incurred for events related to more infections on the C system. It is concluded that for the similar cumulative costs required for the patients on the two systems, the Y-set disconnect has a better morbidity profile than the conventional spike system.
Subject
Nephrology,General Medicine
Cited by
20 articles.
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1. Peritoneal Infections in Peritoneal Dialysis (PD Peritonitis);Nolph and Gokal's Textbook of Peritoneal Dialysis;2023
2. Peritoneal Infections in Peritoneal Dialysis (PD Peritonitis);Nolph and Gokal's Textbook of Peritoneal Dialysis;2022-12-22
3. A systematic review of peritoneal dialysis-related peritonitis rates over time from national or regional population-based registries and databases;Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis;2021-04-08
4. Peritoneal Infections in Peritoneal Dialysis (PD Peritonitis);Nolph and Gokal's Textbook of Peritoneal Dialysis;2021
5. ISPD Catheter-Related Infection Recommendations: 2017 Update;Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis;2017-03