Optimizing Peritoneal Dialysis-Associated Peritonitis Prevention in the United States: From Standardized Peritoneal Dialysis-Associated Peritonitis Reporting and Beyond.

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Abstrakt

Tytuł:: Optimizing Peritoneal Dialysis-Associated Peritonitis Prevention in the United States: From Standardized Peritoneal Dialysis-Associated Peritonitis Reporting and Beyond.
Autorzy:: Perl J; Division of Nephrology, St. Michael's Hospital and the Keenan Research Center in the Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario, Canada.
Fuller DS; Arbor Research Collaborative for Health, Ann Arbor, Michigan.
Boudville N; Medical School, University of Western Australia, Perth, Australia.
Kliger AS; Section of Nephrology, Department of Internal Medicine, Yale School of Medicine and Yale New Haven Health System, New Haven, Connecticut.
Schaubel DE; Department of Biostatistics, Epidemiology, and Informatics, University of Pennsylvania, Philadelphia, Pennsylvania.
Teitelbaum I; Division of Kidney Diseases and Hypertension, University of Colorado School of Medicine, Aurora, Colorado.
Warady BA; Division of Nephrology, Children's Mercy Kansas City, Kansas City, Missouri.
Neu AM; Division of Pediatric Nephrology, The Johns Hopkins University School of Medicine, Baltimore, Maryland.
Patel PR; Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
Piraino B; Department of Medicine, Renal Electrolyte Division, University of Pittsburgh, Pittsburgh, Pennsylvania.
Schreiber M; Home Modalities, DaVita Kidney Care, Denver, Colorado.
Pisoni RL; Arbor Research Collaborative for Health, Ann Arbor, Michigan.
Źródło:: Clinical journal of the American Society of Nephrology : CJASN [Clin J Am Soc Nephrol] 2020 Dec 31; Vol. 16 (1), pp. 154-161. Date of Electronic Publication: 2020 Aug 06.
Typ publikacji:: Journal Article; Research Support, U.S. Gov't, P.H.S.
Język:: English
Imprint Name(s):: Publication: 2023- : Hagerstown, MD : Wolters Kluwer Health
Original Publication: Washington, D.C. : American Society of Nephrology, c2005-
MeSH Terms:: Quality Improvement*
Data Collection/*standards
Peritoneal Dialysis/*adverse effects
Peritoneal Dialysis/*standards
Peritonitis/*etiology
Peritonitis/*prevention & control
Humans ; Peritonitis/microbiology ; Practice Guidelines as Topic ; Renal Dialysis/standards ; Terminology as Topic ; United States
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Grant Information:: R01 HS025756 United States HS AHRQ HHS
Contributed Indexing:: Keywords: Health Care Costs; Incidence; Peritonitis; Quality Improvement; Translational Medical Research; dialysis; dialysis-associated peritonitis; peritoneal dialysis
Entry Date(s):: Date Created: 20200809 Date Completed: 20211206 Latest Revision: 20230424
Update Code:: 20240105
PubMed Central ID:: PMC7792655
DOI:: 10.2215/CJN.11280919
PMID:: 32764025
: Czasopismo naukowe

Peritoneal dialysis (PD)-associated peritonitis is the leading cause of permanent transition to hemodialysis among patients receiving PD. Peritonitis is associated with higher mortality risk and added treatment costs and limits more widespread PD utilization. Optimizing the prevention of peritonitis in the United States will first require standardization of peritonitis definitions, key data elements, and outcomes in an effort to facilitate nationwide reporting. Standardized reporting can also help describe the variability in peritonitis rates and outcomes across facilities in the United States in an effort to identify potential peritonitis prevention strategies and engage with stakeholders to develop strategies for their implementation. Here, we will highlight considerations and challenges in developing standardized definitions and implementation of national reporting of peritonitis rates by PD facilities. We will describe existing peritonitis prevention evidence gaps, highlight successful infection-reporting initiatives among patients receiving in-center hemodialysis or PD, and provide an overview of nationwide quality improvement initiatives, both in the United States and elsewhere, that have translated into a reduction in peritonitis incidence. We will discuss opportunities for collaboration and expansion of the Nephrologists Transforming Dialysis Safety (NTDS) initiative to develop knowledge translation pathways that will lead to dissemination of best practices in an effort to reduce peritonitis incidence.
(Copyright © 2021 by the American Society of Nephrology.)

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