Abstract
Objective: to analyze the complications related to peritonitis and catheter exit-site infections, in patients on peritoneal dialysis at home. Method: quantitative and cross-sectional study, carried out with 90 patients on peritoneal dialysis at home, in a municipality in the Northeast region of Brazil. For data collection, it was used two structured scripts and consultation on medical records. Descriptive analysis and comparison tests among independent groups were used, considering p<0.05 as level of statistical significance. Results: by comparing the frequency of peritonitis and the length of treatment, it was found that patients over two years of peritoneal dialysis were more likely to develop peritonitis (X²=6.39; p=0.01). The number of episodes of peritoneal catheter exit-site infection showed association with the length of treatment (U=224,000; p=0.015). Conclusion: peritonitis and catheter exit-site infection are associated with the length of treatment.
Highlights
The prevalence of dialysis patients in Brazil shows upward trends
Chronic Kidney Disease (CKD) in its end stage has as treatment, the Renal Replacement Therapy (RRT), which is represented by hemodialysis, peritoneal dialysis and kidney transplantation[3,4]
There are no studies in the national context about the difficulties of patients on Peritoneal Dialysis (PD) performed at home, which can lead to complications related to peritonitis and Catheter Exit-Site Infection (CESI)
Summary
The prevalence of dialysis patients in Brazil shows upward trends. The Brazilian Unified Health System (SUS) finances approximately 80% of the PD procedures and shows expressive evidence of saturation regarding the demand for individuals with terminal Chronic Kidney Disease (CKD)(2-3). CKD in its end stage has as treatment, the Renal Replacement Therapy (RRT), which is represented by hemodialysis, peritoneal dialysis and kidney transplantation[3,4]. In the case of Peritoneal Dialysis (PD), there are the Continuous Ambulatory Peritoneal Dialysis (CAPD) and the Automated Peritoneal Dialysis (APD) as treatment modalities. These modalities can be performed at the patients’ homes[3]
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