Factors Associated with Peritonitis in Patients Undergoing Continuous Peritoneal Dialysis at Kantharalak Hospital, Sisaket Province
Keywords:
Intra-Abdominal Infections, Peritoneal Dialysis Replacement Therapy, End-Stage Kidney DiseaseAbstract
Background: Peritoneal dialysis is a kidney replacement therapy that is popular among UHC patients. Because it is cheaper than dialysis and patients can do it themselves at home, this method is preferred. However, the main complication is intra-abdominal infection.
Objective: To study the incidence of peritonitis, signs and symptoms, pathogens, risk factors, and treatment results in peritoneal dialysis patients.
Methods: This research is a retrospective case-control study. The sample group consisted of medical records of patients diagnosed with chronic kidney disease who received peritoneal dialysis treatment in Kantharalak Hospital, Sisaket Province from October 2021 to September 2023. Statistics used in data analysis include descriptive statistics (percentage, mean, and standard deviation), square statistics, and analysis. Simple variable and multivariate analysis with the significance level set at p < 0.05.
Results: The most inflammatory groups are 57.75 percent of females. The average age is 53.84 years. The most common bacteria are Staphylococcus Coagulase Negative, Staphylococcus Aureus, Klebsiella Pneumoniae, and Escherichia Coli, and in the case of incubation, 21.83 percent of the infection group when analyzing the factors that are related to bacterial infections in patients who have been dialysis. Found that the factors that are related to bacterial infections of patients with chronic kidney disease that have been dialysis in abdominal dialysis include Patients with diabetes (Oradj. = 3.10, 95% CI: 1.33-15.24) Patients with diabetes and pressure (Oradj. = 2.92, 95% CI: 1.25-6.78). Patients with blood sugar levels more than 140 mg/dl (Oradj. = 2.85, 95%: 1.48-1.50). Less than or equal to 3.5 mg/dl (Oradj. = 1.72, 95% CI: 1.41-5.28)
Conclusion: Patients with chronic kidney disease receiving peritoneal dialysis who have diabetes, diabetes high blood pressure, blood sugar levels greater than 140 mg/dl, and albumin levels less than or equal to 3.5 mg/dl are at risk for intra-abdominal bacterial infections. Patients in this group should receive special care and surveillance from the multidisciplinary team.
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