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Erschienen in: Pediatric Nephrology 10/2010

01.10.2010 | Original Article

Specialist pediatric dialysis nursing improves outcomes in children on chronic peritoneal dialysis

verfasst von: W. D. Vindya N. Gunasekara, Kar-Hui Ng, Yiong-Huak Chan, Eric Aragon, Pei-Pei Foong, Yew-Weng Lau, Lee-Kean Lim, Chien-Wyei Liew, Wee-Song Yeo, Hui-Kim Yap

Erschienen in: Pediatric Nephrology | Ausgabe 10/2010

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Abstract

Chronic peritoneal dialysis (PD) for children in Singapore was instituted in 1988 at the National University Hospital with adult nurses providing dialysis services during the first 10 years. In 1998, a specialist pediatric dialysis nursing team was recruited. This study was conducted to determine the impact of dialysis nursing service on PD-related outcomes during the two nursing periods. Comparing the adult (group 1) and pediatric (group 2) nursing periods, the peritonitis rate was significantly higher in group 1 (RR 1.90; 95%CI 1.27–2.84), and this association did not weaken after adjusting for age, gender, and exit site infections. Exit site infection rate (RR 2.16; 95%CI 1.44–3.23), risk of peritonitis during the first year (RR 3.65; 95%CI 1.68–7.90), and multiple peritonitis attacks (RR 2.45; 95%CI 1.32–4.55) were higher in group 1. The peritonitis rates for adult patients cared for by the same adult nurses declined sharply from 1.05 episodes per patient-year between 1989 and 1992 to 0.41 episodes per patient-year between 1995 and 1997, however the corresponding pediatric rates did not change (1.48 to 1.06 episodes per patient-year, respectively) until the second era when specialized pediatric nurses were available. In conclusion, establishment of a specialist pediatric dialysis nursing team resulted in significant improvement in infection-related PD outcomes.
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Metadaten
Titel
Specialist pediatric dialysis nursing improves outcomes in children on chronic peritoneal dialysis
verfasst von
W. D. Vindya N. Gunasekara
Kar-Hui Ng
Yiong-Huak Chan
Eric Aragon
Pei-Pei Foong
Yew-Weng Lau
Lee-Kean Lim
Chien-Wyei Liew
Wee-Song Yeo
Hui-Kim Yap
Publikationsdatum
01.10.2010
Verlag
Springer-Verlag
Erschienen in
Pediatric Nephrology / Ausgabe 10/2010
Print ISSN: 0931-041X
Elektronische ISSN: 1432-198X
DOI
https://doi.org/10.1007/s00467-010-1581-3

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