儿科腹膜透析培训计划及其与腹膜炎的关系:国际儿科腹膜透析网络的研究
Nivedita Kamath1, Dagmara Borzych-Dużałka2,3, Amrit Kaur4
1St John's Medical College Hospital, Bangalore, India. nkamath25@yahoo.com.
Pediatric nephrology (Berlin, Germany)
|July 5, 2023
概括
儿童家庭腹膜透析 (PD) 的培训时间较短,工具较少,与腹膜炎发病率较高有关. 优化培训时间和资源可以帮助减少PD儿童的感染.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 儿科医学 儿科医学
- 医学教育 医学教育
背景情况:
- 家庭腹膜透析 (PD) 培训指南强调腹膜炎的预防.
- 儿科PD培训实践及其对感染率的影响需要调查.
研究的目的:
- 为了调查儿科的PD培训实践.
- 评估这些做法对腹膜炎和出口部位感染 (ESI) 率的影响.
主要方法:
- 一份问卷分发给了国际儿科腹腔透析网络 (IPPN) 的中心.
- 炎和ESI率是从注册表或中心收集的.
- 普森回归分析确定了与培训相关的风险因素.
主要成果:
- 62个中心作出回应;50个提供了感染率数据.
- 93.5%的培训是由护士领导的,通常是在医院内进行的,平均24小时.
- 较短的训练 (<20小时) 和较少的工具与较高的腹膜炎率相关.
结论:
- 培训时间和培训工具的数量是可修改的因素.
- 优化这些因素可能会减少儿科PD患者的腹膜炎.
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