PMID: 9543378Apr 16, 1998Paper

Evaluation of perioperative antibiotics at the time of dialysis catheter placement

Pediatric Nephrology : Journal of the International Pediatric Nephrology Association
K M SardegnaC F Strife

Abstract

The effect of prophylactic antibiotics on the occurrence of peritonitis in the 14 days following surgical peritoneal dialysis catheter placement was evaluated. Medical records from 73 pediatric patients who had 89 Tenckhoff catheters inserted over 6 years were reviewed. Twelve catheter procedures were excluded for rapid catheter loss, unavailable charts, eosinophilic peritonitis, and antibiotic administration > 3 h postoperatively. Chi-squared analysis for non-continuous variables compared factors at the time of catheter placement with outcome (peritonitis). Thirteen patients developed postoperative peritonitis when 77 catheter insertions were analyzed (17%). Peritonitis was significantly more common in patients who did not receive perioperative antibiotics (7 of 16 catheter placements) (chi(2) = 12.48, P < or = 0.001). The reduced incidence of peritonitis was not specific to any one antibiotic class. Using step-wise logistic regression analysis, no association was found between peritonitis incidence and nephrotic syndrome, immunosuppression, recent surgery (< 14 days), acute versus chronic use, year of catheter placement, surgeon, or patient age. Catheter type, implantation technique, exit site care, and operative wound care d...Continue Reading

Citations

Jul 5, 2006·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Colin T WhiteUNKNOWN Peritoneal Dialysis Working Group
Jan 12, 2007·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Ari AuronBradley A Warady
Feb 5, 2009·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Vimal ChadhaBradley A Warady
Aug 8, 2012·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Bradley A WaradyFranz Schaefer
Nov 30, 2006·Cardiovascular and Interventional Radiology·Thuong G Van HaJonathan Lorenz
Mar 29, 2011·Seminars in Nephrology·Sharon J Nessim
Oct 31, 2000·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·M F GadallahS Tatro
Apr 11, 2014·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Bradley A WaradyFranz Schaefer
Oct 21, 2016·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Allison Redpath Mahon, Alicia M Neu
Aug 3, 2011·Journal of Transcultural Nursing : Official Journal of the Transcultural Nursing Society·Ercole VelloneMarlene Z Cohen
Sep 16, 2017·Clinical and Experimental Nephrology·Margarita KuninDanny Rosin

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