Gray DL, Caruso DM, Kohr JM, Rodgers LL, Weiland DE, Vander Werf BA
Reduction of infectious complications by temporary subcutaneous implantation of PD catheters
17th Annual CAPD Conference
Perit Dial Int Suppl 1 (Feb) 17:S43 1997

This paper, while not a controlled study, involved fairly large numbers of patients in a retrospective comparison of percutaneous implantation of PD catheters with immediate exteriorisation vs. use of the Moncrief technique (delayed exteriorisation). Each group comprised approximately 100 patients.

The peritonitis rate was 19% with the standard technique vs. 10% using delayed exteriorisation. The incidence of exit-site infection also was reduced. The authors conclude that delayed exteriorisation of PD catheters is a valuable method.

Comment: The question would be finally settled using a randomized trial. One other point to consider is the cost-benefit of routinely practicing detailed exteriorisation, as presented by Caruso et al at this same meeting. (John T. Daugirdas, M.D., University of Illinois at Chicago)

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17th Annual CAPD Conference
Basic peritoneal dialysis : Peritonitis and exit-site infection
Basic peritoneal dialysis : PD catheters

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