Extended Swan-Neck Catheter With Upper Abdominal Exit-Site Reduces Peritoneal Dialysis-Related Infections

Masahiro Eriguchi, Kazuhiko Tsuruya, Hisako Yoshida, Naoki Haruyama, Shigeru Tanaka, akihiro tsuchimoto, Kiichiro Fujisaki, kumiko torisu, Kosuke Masutani, Takanari Kitazono

研究成果: ジャーナルへの寄稿記事

3 引用 (Scopus)

抄録

Extended catheters with an upper abdominal exit-site (UAE) are reportedly associated with a lower incidence of peritoneal dialysis (PD)-related infections. However, little information about the optimal peritoneal catheter configuration for UAE is available. In this nonrandomized multicenter trial, 147 consecutive cases of a UAE involving either a conventional straight (CS; 80 cases) or extended swan-neck catheter (SN; 67 cases) were analyzed to compare exit-site and tunnel infections (ESTI), peritonitis, and catheter survival. The ESTI-free and catheter survival rates were significantly lower in the SN than in the CS group (P <0.01). However, the peritonitis-free survival rate was not different (P=0.26). In terms of analyses for infection rates, fewer episodes of ESTI (1.284 vs 0.608 episodes/patient-year; P <0.01) and peritonitis (0.345 vs 0.152 episodes/patient-year; P=0.06) were observed in the SN than CS group. Recurrence analyses showed that the mean number of cumulative episodes of ESTI and peritonitis between two groups were significantly different.

元の言語英語
ページ(範囲)158-164
ページ数7
ジャーナルTherapeutic Apheresis and Dialysis
20
発行部数2
DOI
出版物ステータス出版済み - 4 1 2016

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Peritoneal Dialysis
Neck
Catheters
Peritonitis
Infection
Survival Rate
Multicenter Studies
Recurrence
Incidence

All Science Journal Classification (ASJC) codes

  • Hematology
  • Nephrology

これを引用

Extended Swan-Neck Catheter With Upper Abdominal Exit-Site Reduces Peritoneal Dialysis-Related Infections. / Eriguchi, Masahiro; Tsuruya, Kazuhiko; Yoshida, Hisako; Haruyama, Naoki; Tanaka, Shigeru; tsuchimoto, akihiro; Fujisaki, Kiichiro; torisu, kumiko; Masutani, Kosuke; Kitazono, Takanari.

:: Therapeutic Apheresis and Dialysis, 巻 20, 番号 2, 01.04.2016, p. 158-164.

研究成果: ジャーナルへの寄稿記事

Eriguchi, Masahiro ; Tsuruya, Kazuhiko ; Yoshida, Hisako ; Haruyama, Naoki ; Tanaka, Shigeru ; tsuchimoto, akihiro ; Fujisaki, Kiichiro ; torisu, kumiko ; Masutani, Kosuke ; Kitazono, Takanari. / Extended Swan-Neck Catheter With Upper Abdominal Exit-Site Reduces Peritoneal Dialysis-Related Infections. :: Therapeutic Apheresis and Dialysis. 2016 ; 巻 20, 番号 2. pp. 158-164.
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abstract = "Extended catheters with an upper abdominal exit-site (UAE) are reportedly associated with a lower incidence of peritoneal dialysis (PD)-related infections. However, little information about the optimal peritoneal catheter configuration for UAE is available. In this nonrandomized multicenter trial, 147 consecutive cases of a UAE involving either a conventional straight (CS; 80 cases) or extended swan-neck catheter (SN; 67 cases) were analyzed to compare exit-site and tunnel infections (ESTI), peritonitis, and catheter survival. The ESTI-free and catheter survival rates were significantly lower in the SN than in the CS group (P <0.01). However, the peritonitis-free survival rate was not different (P=0.26). In terms of analyses for infection rates, fewer episodes of ESTI (1.284 vs 0.608 episodes/patient-year; P <0.01) and peritonitis (0.345 vs 0.152 episodes/patient-year; P=0.06) were observed in the SN than CS group. Recurrence analyses showed that the mean number of cumulative episodes of ESTI and peritonitis between two groups were significantly different.",
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AU - Tanaka, Shigeru

AU - tsuchimoto, akihiro

AU - Fujisaki, Kiichiro

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AU - Masutani, Kosuke

AU - Kitazono, Takanari

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