Delaying treatment for peritonitis could be related to longer hospitalization in patients on peritoneal dialysis

BackgroundWhen peritoneal dialysis (PD)-related peritonitis occurs in PD patients, diagnostic and therapeutic approaches should be started as soon as possible. However, medical attention may be delayed in patients experiencing minimal symptoms with cloudy PD fluid (PDF). This study investigated diff...

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Bibliographic Details
Published in:Renal replacement therapy 2024-11, Vol.10 (1), p.69-8, Article 69
Main Authors: Koshitori, Yusaku, Takai, Nami, Isomura, Yoshihito, Hiramatsu, Tetsuaki, Suzuki, Yasuhiro, Kim, Hangsoo, Fukui, Sosuke, Mizuno, Masashi
Format: Article
Language:English
Subjects:
Abdomen
Age
Antibiotics
Automation
Body mass index
Caregivers
Diabetes
Diarrhea
Education
Fever
Health economics
Hemodialysis
Hospitalization
Hospitals
Medical records
Patients
Peritoneal dialysis
Peritonitis
Potassium
Proteins
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Summary:BackgroundWhen peritoneal dialysis (PD)-related peritonitis occurs in PD patients, diagnostic and therapeutic approaches should be started as soon as possible. However, medical attention may be delayed in patients experiencing minimal symptoms with cloudy PD fluid (PDF). This study investigated differences between the first and later episodes of peritonitis and relationships between interval from peritonitis onset to attending hospital and both duration of hospitalization and medical expenses.MethodsWe retrospectively investigated 36 patients with multiple episodes of PD-related peritonitis among 125 patients receiving PD therapy from January 2016 during a 6-year period at a single center.ResultsIn 50 episodes of PD-related peritonitis among outpatients, median interval from recognition of cloudy PDF to hospital visit was 4.0 h (interquartile range [IQR] 2.0–12.0 h). With the first episode of peritonitis, the median interval was 8.5 h (IQR 3.6–18.0 h), improving to 2.0 h (IQR2.0–3.3 h) with second and subsequent episodes of peritonitis after patients were provided with education in PD-related issues. Median duration of hospitalization associated with PD-related peritonitis was 16.0 days (IQR 14–22 days) when the interval to hospital visit was 
ISSN:2059-1381
2059-1381
DOI:10.1186/s41100-024-00587-3