RCT: Which Works Best, Straight or Coiled PD Catheters?

A metaanalysis recently found that straight catheters were better, and an RCT of 308 CAPD patients randomly assigned to receive a straight (n=153) or coiled (n=155) catheter corroborates that finding. After a mean follow-up of 21 months, straight PD catheters caused almost 9 times less dysfunction or drainage failure (0.7% vs. 5.8%) with less pain than coiled catheters. Both catheters had a similar risk of peritonitis.

Read the abstract » | (added 2019-09-11)

Tags: Catheter, Randomized Controlled Trial (RCT), PD, CAPD

To Screen or Not to Screen PD Patients for Bacteria: That is the Question

Does the ISPD guideline for routine use of mupirocin ointment at PD exit sites risk creating mupirocin-resistant organisms? No, finds a surveillance study of 1,175 swabs from 240 patients.

Read the abstract » | (added 2019-02-14)

Tags: Mupirocin, PD, Catheter, Peritonitis, Pseudomonas, Hygiene

Urgent-start PD Catheter Placement - Surgical vs. Percutaneous

PD catheter placement does NOT have to be limited to just minimally-invasive percutaneous procedures, suggests a literature review. But, minimizing intraperitoneal pressure for the first 2 weeks IS important.

Read the abstract » | (added 2019-02-14)

Tags: PD, Catheter, Urgent start, Complications

PD Catheter Outcomes in Low vs. High-Volume Centers

Not surprisingly, patients whose PD catheters were placed at high-volume centers (in Japan) had fewer adverse events, needed feer blood transfusions, and had shorter hospital stays than those from low-volume centers. Read the abstract.

Read the abstract » | (added 2018-09-10)

Tags: PD, Catheter, Hospital volume

When to start PD after catheter placement

A new randomized controlled trial included 122 new PD starts at two Queensland, Australia hospitals for 5 years. Participants were randomized to three groups, who started PD at either 1 week, 2 weeks, or 4 weeks after PD catheter placement. Leaks were higher in the 1-week group, while PD technique failure was higher in the 4-week group.

Read the abstract » | (added 2017-05-09)

Tags: Peritoneal dialysis, Catheter