Talk Description
419Q - Research Paper
Abstract:
Aim:
To investigate the effect of increased peritoneal dialysate flush volumes on peritonitis episodes
Method:
Clinical data was collected over a period of 11 months (February 2023-January 2024), for each episode where suspected peritonitis or sampling was indicated. These included factors such as use of Icodextrin solution, abdominal symptoms, and flush volumes prior to sampling.A change of protocol from 500ml x2 dialysate flushes to 1000ml x2 were performed prior to administration of 1L dialysate for a minimum two-hour dwell period prior to sampling. Samples were analysed for total white cell count, differential count and culture results.
Results:
A total of 26 suspected peritonitis episodes were observed of which three (12%) of these were confirmed peritonitis. There were zero episodes of culture-negative peritonitis over this time period.
Conclusion:
An increase in flush volume prior to sampling resulted in reduced peritonitis episodes and an absence of culture-negative peritonitis across the study period. This has helped our organisation to achieve the updated International Society of Peritoneal Dialysis culture negative peritonitis targets.
Abstract:
Aim:
To investigate the effect of increased peritoneal dialysate flush volumes on peritonitis episodes
Method:
Clinical data was collected over a period of 11 months (February 2023-January 2024), for each episode where suspected peritonitis or sampling was indicated. These included factors such as use of Icodextrin solution, abdominal symptoms, and flush volumes prior to sampling.A change of protocol from 500ml x2 dialysate flushes to 1000ml x2 were performed prior to administration of 1L dialysate for a minimum two-hour dwell period prior to sampling. Samples were analysed for total white cell count, differential count and culture results.
Results:
A total of 26 suspected peritonitis episodes were observed of which three (12%) of these were confirmed peritonitis. There were zero episodes of culture-negative peritonitis over this time period.
Conclusion:
An increase in flush volume prior to sampling resulted in reduced peritonitis episodes and an absence of culture-negative peritonitis across the study period. This has helped our organisation to achieve the updated International Society of Peritoneal Dialysis culture negative peritonitis targets.