Posthuma N, ter Wee PM, Borgstein PJ, Eijsbouts Q
Simultaneous peritoneal catheter removal and insertion without
interruption of PD
Am Soc Nephrol
J Am Soc Nephrol (abstract)
(Sep) 7:1432 1996
The authors report replacement of 34 PD catheters in 30 patients where
catheters were replaced during the same procedure in which the previous
catheter was removed using peritonoscopy. The replacement catheters were 2
cuff Swan neck Tenckhoff catheters. Thirty-one catheters were replaced for
infection and 3 for dysfunction. PD fluid cell
count had to be < 100. The procedure was performed under antibiotic (?)
coverage which was continued for 2 weeks post catheter replacement.
Patients were placed on nocturnal IPD (dry during the day) for 1 week.
Results were good, in that there were only 4
complications (2 leaks, 1 peritonitis, 1 scar abscess) .
Comment: Questions which arise on reading about his often discussed
problem:
- What was the distribution of organisms causing peritonitis in these
patients?
- How many peritonitis, exit-site infection, tunnel infections?
- How long were the patients treated with antibiotics before catheter
replacement?
- Why were these (and not other) catheters removed?
- How long was the follow up after catheter removal?
(Stephen Vas, M.D., University of Toronto, Canada)
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Am Soc Nephrol
Basic peritoneal dialysis :
PD catheters