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Negative-pressure wound therapy is effective for peritoneal dialysis catheter exit-site management in the early postoperative period

Peritoneal dialysis (PD) catheter exit-site care is critically important for the prevention of catheter-related infections (CRIs) and subsequent peritonitis. The postoperative management of the site is particularly essential because it has an open wound that is always adjacent to a PD catheter tube....

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Autores principales: Fukuzaki, Haruna, Nakata, Junichiro, Nojiri, Shuko, Shimizu, Yuki, Kano, Toshiki, Shirotani, Yuka, Maeda, Takuya, Nohara, Nao, Io, Hiroaki, Suzuki, Yusuke
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8742026/
https://www.ncbi.nlm.nih.gov/pubmed/34996968
http://dx.doi.org/10.1038/s41598-021-03878-5
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author Fukuzaki, Haruna
Nakata, Junichiro
Nojiri, Shuko
Shimizu, Yuki
Kano, Toshiki
Shirotani, Yuka
Maeda, Takuya
Nohara, Nao
Io, Hiroaki
Suzuki, Yusuke
author_facet Fukuzaki, Haruna
Nakata, Junichiro
Nojiri, Shuko
Shimizu, Yuki
Kano, Toshiki
Shirotani, Yuka
Maeda, Takuya
Nohara, Nao
Io, Hiroaki
Suzuki, Yusuke
author_sort Fukuzaki, Haruna
collection PubMed
description Peritoneal dialysis (PD) catheter exit-site care is critically important for the prevention of catheter-related infections (CRIs) and subsequent peritonitis. The postoperative management of the site is particularly essential because it has an open wound that is always adjacent to a PD catheter tube. This study aimed to examine the effectiveness of negative-pressure wound therapy (NPWT) for postoperative PD catheter exit sites. Thirty patients with end-stage renal disease who underwent simultaneous PD catheter insertion and exit-site formation were randomly assigned to receive NPWT (NPWT group) or conventional dressing (non-NPWT group) for the first seven postoperative days. The exit-site scores on the seventh postoperative day was lower in the NPWT group than in the non-NPWT group (p = 0.0049). Analysis of variance F statistic for the effect of NPWT over 180 days was highly significant (11.482595, p = 0.007). There were no statistically significant differences between the time to first CRI and PD-related peritonitis between the two groups. There was one case of CRI with relapsing peritonitis and catheter loss in the non-NPWT group. These findings demonstrate the association between NPWT and low exit-site score. NPWT can be recommended for the management of PD catheter exit sites in the early postoperative period.
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spelling pubmed-87420262022-01-11 Negative-pressure wound therapy is effective for peritoneal dialysis catheter exit-site management in the early postoperative period Fukuzaki, Haruna Nakata, Junichiro Nojiri, Shuko Shimizu, Yuki Kano, Toshiki Shirotani, Yuka Maeda, Takuya Nohara, Nao Io, Hiroaki Suzuki, Yusuke Sci Rep Article Peritoneal dialysis (PD) catheter exit-site care is critically important for the prevention of catheter-related infections (CRIs) and subsequent peritonitis. The postoperative management of the site is particularly essential because it has an open wound that is always adjacent to a PD catheter tube. This study aimed to examine the effectiveness of negative-pressure wound therapy (NPWT) for postoperative PD catheter exit sites. Thirty patients with end-stage renal disease who underwent simultaneous PD catheter insertion and exit-site formation were randomly assigned to receive NPWT (NPWT group) or conventional dressing (non-NPWT group) for the first seven postoperative days. The exit-site scores on the seventh postoperative day was lower in the NPWT group than in the non-NPWT group (p = 0.0049). Analysis of variance F statistic for the effect of NPWT over 180 days was highly significant (11.482595, p = 0.007). There were no statistically significant differences between the time to first CRI and PD-related peritonitis between the two groups. There was one case of CRI with relapsing peritonitis and catheter loss in the non-NPWT group. These findings demonstrate the association between NPWT and low exit-site score. NPWT can be recommended for the management of PD catheter exit sites in the early postoperative period. Nature Publishing Group UK 2022-01-07 /pmc/articles/PMC8742026/ /pubmed/34996968 http://dx.doi.org/10.1038/s41598-021-03878-5 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Article
Fukuzaki, Haruna
Nakata, Junichiro
Nojiri, Shuko
Shimizu, Yuki
Kano, Toshiki
Shirotani, Yuka
Maeda, Takuya
Nohara, Nao
Io, Hiroaki
Suzuki, Yusuke
Negative-pressure wound therapy is effective for peritoneal dialysis catheter exit-site management in the early postoperative period
title Negative-pressure wound therapy is effective for peritoneal dialysis catheter exit-site management in the early postoperative period
title_full Negative-pressure wound therapy is effective for peritoneal dialysis catheter exit-site management in the early postoperative period
title_fullStr Negative-pressure wound therapy is effective for peritoneal dialysis catheter exit-site management in the early postoperative period
title_full_unstemmed Negative-pressure wound therapy is effective for peritoneal dialysis catheter exit-site management in the early postoperative period
title_short Negative-pressure wound therapy is effective for peritoneal dialysis catheter exit-site management in the early postoperative period
title_sort negative-pressure wound therapy is effective for peritoneal dialysis catheter exit-site management in the early postoperative period
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8742026/
https://www.ncbi.nlm.nih.gov/pubmed/34996968
http://dx.doi.org/10.1038/s41598-021-03878-5
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