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Pediatric peritoneal dialysis training: characteristics and impact on peritonitis rates
M Holloway1, S Mujais, M Kandert
1Amgen, Inc., Thousand Oaks, California 91320, USA. mhollowa@amgen.com
Objective:
Peritonitis is the leading cause of technique failure in pediatric patients on peritoneal dialysis. A survey was developed to determine what impact, if any, training practices and staffing patterns have on peritonitis rates in pediatric patients.
Design:
A survey developed by the International Society for Peritoneal Dialysis Advisory Committee on Peritonitis Management in Pediatric Patients.
Patients:
The survey was distributed to 168 centers and was completed by 76 (45%) centers. A total of 597 children younger than 21 years of age received peritoneal dialysis in these centers.
Results:
The peritonitis rate was significantly lower (1 episode/19.9 months vs 1 episode/13.5 months; p < 0.05) in programs characterized by larger patient numbers (> or = 15 patients vs < 15 patients) and longer training time dedicated to theory and practical/technical skills (p < 0.01).
Conclusion:
Peritoneal dialysis training is an important factor that influences the rate of peritonitis. The results of this survey reinforce the value of the time committed to this effort.
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