Peritoneal catheters and related infections

被引：28

作者：

Thodis E. ^{[1
]}

Passadakis P. ^{[1
]}

Lyrantzopooulos N. ^{[2
]}

Panagoutsos S. ^{[1
]}

Vargemezis V. ^{[1
]}

Oreopoulos D. ^{[3
]}

机构：

[1] Department of Nephrology, Medical School, Democritus University of Thrace, Thrace

[2] Department of Surgery, Medical School, Democritus University of Thrace, Alexandroupolis

[3] Peritoneal Dialysis Program, The Toronto Western Hospital, University Health Network, Toronto, Ont.

来源：

International Urology and Nephrology | 2005年 / 37卷 / 2期

关键词：

Complications; Infections; Peritoneal catheters; Peritoneal dialysis;

D O I：

10.1007/s11255-004-1562-1

中图分类号：

学科分类号：

摘要：

Catheter related infectious complications (exit-site infections, tunnel infections, and peritonitis) remain the major reasons for technique failure during the three decades since, continuous ambulatory peritoneal dialysis (CAPD) treatment has been first established. Despite improvements in catheter's survival rates, catheter related complications result in an increase in the cumulative patients' morbidity and often leading to the catheter removal. The ideal catheter provides reliable and rapid dialysate flow rates without leaks or infections. Among several types, the double-cuff straight Tenckhoff catheter, developed in 1968, is still the most widely used, although its use is decreasing in favour of swanneck catheters. Although there are onlu few well-designed trials comparing catheters and catheters related infectious complications, controlling for all other important variables, no difference in these complications among the main types of catheters was seen. The single cuff catheters have been associated with a shorter survival rate and time to the first peritonitis episode than the double-cuff catheters. Also exit-site infections were found to be more frequent and significantly more resistant to treatment with single-cuff compared to double-cuff ones. Finally, better results have been reported with the latest developed presternal peritoneal dialysis catheter both regarding survival rates and exit-site infection and peritonitis rates. Recently a renewed interest in continuous flow peritoneal dialysis stimulated inventions of imaginative, double-lumen catheters since a suitable peritoneal access is a sine qua non condition for the development of this new technique of peritoneal dialysis. © Springer 2005.

引用

页码：379 / 393

页数：14

共 78 条

[1] Popovich R.P., Moncrief J.W., Decherd J.F., Et al., The definition of a novel portable/wearable equilibrium dialysis technique, Abstr. Trans. Am. Soc. Artif. Intern. Organs, 5, (1976)
[2] Gokal R., Oreopoulos D.G., Is long-term Technique Survival on CAPD possible?, Perit. Dial. Intern., 16, pp. 553-555, (2000)
[3] Honda M., Litaka K., Kawaguchi H., Et al., The Japanese National Registry Data in Pediatric CAPD Patients: A report of the study group of pediatric conference, Perit. Dial. Int., 16, pp. 269-275, (1996)
[4] Kubota R., Kanazawa M., Takahashi Y., Et al., Implantation of Presternal Catheter using Moncrief technique: Aimins for fewer catheter - Related complications, Pent. Dial. Intern., 21, SUPPL. 3, pp. 205-208, (2001)
[5] Gokal R., Alexander S., Ash S.R., Et al., Peritoneal catheters and exit-site practices toward optimum peritoneal access: 1998 update (Official report from the International Society for Peritoneal Dialysis), Perit. Dial. Int., 18, pp. 11-33, (1998)
[6] Tenckhoff J., Schechter H., A bacteriology safe peritoneal access device, Trans. Am. Soc. Artif. Intern. Organs, 14, pp. 181-187, (1968)
[7] Cruz C., Cruz Catheter: Implantation technique and clinical results, Perit. Dial. Int., 14, SUPPL. 3, pp. 59-63, (1994)
[8] Rao S.P., Oreopoulos D.G., Unusual complications of a polyurethane PD catheter, Per. Dial. Int., 17, pp. 400-401, (1997)
[9] Lupo A., Tarchini R., Cancarini G., Et al., Long-term outcome in CAPD: A 10 year survey by the Italian Cooperactive Peritoneal Dialysis Study Group, Am. J. Kidney Dis., 24, pp. 826-837, (1994)
[10] Moncrief J.W., Popovich R.P., Broadrick L.J., Et al., The Moncrief-Popovich catheter. A new peritoneal access technique for patients on peritoneal dialysis, ASAIO J., 39, pp. 62-65, (1993)

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