대한신장학회

Skip Navigation: Skip to contents

KOR
ENG
전체메뉴보기

간행물 검색

현재 페이지 경로

HOME
간행물
간행물 검색

논문분류	춘계학술대회 초록집
제목	Elderly Patients on Peritoneal Dialysis Peritonitis-Analysis of Risk Factors and Preventive Strategies.
저자	Chiu-Ping Liao
출판정보	2024; 2024(1):
키워드
초록	Objectives: This study aims to investigate the factor influencing peritonitis in elderly PD patients. Methods: This retrospective study analyzed data of 92 PD peritonitis patients aged 65 and above from 2018 to 2022. The dataset included information on patients’ basic characteristics, causes of peritonitis, and microbial strains, encompassing a total of 119 peritonitis episodes, with 20 patients experiencing recurrent infections. Results: From 2018 to 2022, a total of 330 elderly patients underwent PD, with 92 experiencing PD peritonitis. The peritonitis rate among elderly patients (27.9%) exceeded the overall peritonitis rate of our hospital (12.7% to 16.8% of 2018 to 2022). The majority of peritonitis cases occurring within the first 1-5 years (50%). Gram-positive bacteria, notably Staphylococcus aureus (24.3%), were the predominant pathogens. Skill-related issues accounted for the majority of peritonitis cases (52.9%). Notably, 60.5% of elderly peritonitis patients using continue ambulatory PD (CAPD) and 51.1% self-operated. Average hemoglobin and albumin level were 9.8 mg/dL and 3.2 mg/dL, respectively, in elderly peritonitis patients. Conclusions: Staphylococcus aureus emerged as the primary pathogen causing peritonitis in elderly patients, primarily attributed to skill-related problems. Forgetfulness, inadequate disinfection knowledge, malnutrition, and compromised immunity were identified as risk factors. CAPD exchanges increased contamination risks in elderly patients. Mitigating these risks requires a high-protein diet, emphasis on proper hand hygiene and mask-wearing, patient involvement in training sessions, and psychological support to reduce infection risk.
원문(PDF)	PDF 원문보기

목록

위로가기