ACTA FAC. MED. NAISS. 2004; 21 (2): 79-83

       Original article 

    PERITONEAL DIALYSIS PERFORMANCE AND INCIDENCE OF PERITONITIS

    Marina Avramović, Radmila Veličković, Vladislav Stefanović

    Institute of Nephrology and Hemodialysis, Clinical Center-Niš Faculty of Medicine, Niš, Serbia, Serbia and Montenegro

      SUMMARY            

    Peritonitis is still a very serious complication in peritoneal dialysis. Among the technical factors associated to peritonitis rate, the Y disconnect system, double bag system, and automated peritoneal dialysis are established to reduce incidence of peritonitis. No data in literature deal with the information who performs dialysis procedure as a variable associated with the incidence of peritonitis.
    In our study 67 PD patients (21 male, 46 female; mean age 52.9 - 12.7 years) were divided in two groups according to who performs dialysis: patient himself (34 pts) or helper (33 pts). All patients were randomly put on different dialysis system for CAPD: 35 pts on Fresenius single bag and 32 on Andy set and followed during five-year period for incidence of peritonitis and dialysis adequacy indices.
    We compared the impact of dialysis performer on incidence of peritonitis. We also tried to give the answer on impact of dialysis system used compared to dialysis performance on peritonitis rate.
    When patient himself is performing dialysis there was non significant difference in peritonitis rate weather single bag or disconnect system used. Dialysis performance by helper significantly increased the incidence of peritonitis weather on single bag or disconnect system. Patients in need for assistance are older and with numerous comorbid conditions, had the lower values of some of adequacy indices (RRF and Kt/V).
    Besides using up-to-date technique in performing dialysis procedure, the role of subject that performs dialysis should be also taken into account when evaluating peritonitis rate on CAPD.

    Key words: peritoneal dialysis, CAPD, peritonitis, dialysis performance, helper, adequacy