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Extended Swan‐Neck Catheter With Upper Abdominal Exit‐Site Reduces Peritoneal Dialysis‐Related Infections
Author(s) -
Eriguchi Masahiro,
Tsuruya Kazuhiko,
Yoshida Hisako,
Haruyama Naoki,
Tanaka Shigeru,
Tsuchimoto Akihiro,
Fujisaki Kiichiro,
Torisu Kumiko,
Masutani Kosuke,
Kitazono Takanari
Publication year - 2016
Publication title -
therapeutic apheresis and dialysis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.415
H-Index - 53
eISSN - 1744-9987
pISSN - 1744-9979
DOI - 10.1111/1744-9987.12358
Subject(s) - medicine , peritonitis , peritoneal dialysis , catheter , exit site , surgery , incidence (geometry) , physics , optics
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.