Peritonitis
Conditions
Keywords
peritoneal dialysis, retraining, peritonitis
Brief summary
To examine whether retraining via operation inspection or verbal education can reduce the risk for peritonitis in PD patients.
Detailed description
The design is prospective, randomized, controlled study. At baseline (during the first month), they will receive a standard training program on performing bag exchange and education on the prevention of peritonitis. Then the participants will be randomized into three groups: retraining via operation inspection (G1), retraining via verbal education (G2) and usual care (G3). Retraining will be performed every 2 months in G1 and G2 group. During the following 2 years or a longer period, all the participants will be followed up frequently with outcome events recorded.
Interventions
BEHAVIORALoperation inspection
Retraining via operation inspection means that nurses check if patients can follow the taught skill during the procedure of bag exchange and correct wrong steps in one-to-one way every 2 months. Retraining via verbal education means that nurses remind patients of key points of bag exchange through interactive quiz derived from above checklist every 2 months till 24 months
Sponsors
Peking University First Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* CAPD patients. * Medically stable and receiving PD for\<1 week * age between 18 and 80 years * self-care or doing bag exchange by a fixed assistant
Exclusion criteria
* followed up at least every 2 months * dialyzed with glucose lactate-buffered PD solutions produced by Baxter Corp, China
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| first-episode peritonitis | 48 months | Infection rates were calculated as the number of infections divided by the total time at risk, and expressed as episodes per 100 patient-years at risk. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| first-episode enteric peritonitis,first-episode non-enteric peritonitis | 48 moths | Enteric organisms included enterococcus and enterobacter. |
| transition transition to haemodialysis, and all-cause death. | 48 moths | transition to haemodialysis, and all-cause death. |
Countries
China
Outcome results
None listed