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Related Experiment Videos

Two years of experience with a new device system: a multicenter study

S Ballocchi1, E Orazi, D Montanaro

  • 1Ospedali di Piacenza, Melegnano, Italy.

Advances in Peritoneal Dialysis. Conference on Peritoneal Dialysis
|January 1, 1995
PubMed
Summary

This study evaluated the Gemini double-bag system for peritoneal dialysis, finding it easy to use and effective in reducing peritonitis episodes. The system demonstrated a peritonitis incidence of 1 episode per 29.7 patient-months over two years.

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Area of Science:

  • Nephrology
  • Medical Devices
  • Infectious Disease Prevention

Background:

  • Peritonitis is a significant complication of peritoneal dialysis (PD).
  • Newer device systems aim to minimize peritonitis risk from external contamination.
  • The Y-set connection improved upon original PD systems.

Purpose of the Study:

  • To assess the reliability and ease of use of the Gemini double-bag system (Gambro) for PD.
  • To evaluate the incidence of peritonitis over a two-year follow-up period using this system.

Main Methods:

  • A prospective study involving 167 patients across 14 Italian dialysis units.
  • Two-year follow-up period, accumulating 2433 patient-months.
  • Data collection on peritonitis episodes, patient training, and need for assistance.

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Main Results:

  • Observed 82 peritonitis episodes in 52 patients, with a cumulative incidence of 1 episode per 29.7 patient-months.
  • Peritonitis-free rates were 69.7% at 12 months and 62.8% at 24 months.
  • 61% of bag exchanges were rated 'easy' by patients and staff; 23% required a partner.

Conclusions:

  • The Gemini double-bag system is reliable and easy to handle for PD bag exchange.
  • The system shows potential in preventing peritonitis complications in PD patients.
  • User-friendliness and reduced peritonitis incidence are key benefits.