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Erschienen in:

05.07.2023 | Original Article

Pediatric peritoneal dialysis training program and its relationship to peritonitis: a study of the International Pediatric Peritoneal Dialysis Network

verfasst von: Nivedita Kamath, Dagmara Borzych-Dużałka, Amrit Kaur, Gisela Neto, Klaus Arbeiter, Yok Chin Yap, Annie Lahoche, Loai Eid, Nakysa Hooman, Troy Richardson, Franz Schaefer, Bradley A. Warady, on behalf of the IPPN participants

Erschienen in: Pediatric Nephrology | Ausgabe 12/2023

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Abstract

Background

The guidelines for training of patients and caregivers to perform home peritoneal dialysis (PD) uniformly include recommendations pertaining to the prevention of peritonitis. The objective of this study conducted by the International Pediatric Peritoneal Dialysis Network (IPPN) was to investigate the training practices for pediatric PD and to evaluate the impact of these practices on the peritonitis and exit-site infection (ESI) rate.

Methods

A questionnaire regarding details of the PD program and training practices was distributed to IPPN member centers, while peritonitis and ESI rates were either derived from the IPPN registry or obtained directly from the centers. Poisson univariate and multivariate regression was used to determine the training-related peritonitis and ESI risk factors.

Results

Sixty-two of 137 centers responded. Information on peritonitis and ESI rates were available from fifty centers. Training was conducted by a PD nurse in 93.5% of centers, most commonly (50%) as an in-hospital program. The median total training time was 24 hours, with a formal assessment conducted in 88.7% and skills demonstration in 71% of centers. Home visits were performed by 58% of centers. Shorter (< 20 hours) training duration and lower number of training tools (both p < 0.02) were associated with higher peritonitis rate, after adjustment for proportion of treated infants and income of country of residence.

Conclusions

An association between training duration and the number of training tools represent potentially modifiable risk factors to reduce peritonitis rates within the pediatric PD population.

Graphical abstract

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Titel: Pediatric peritoneal dialysis training program and its relationship to peritonitis: a study of the International Pediatric Peritoneal Dialysis Network
verfasst von: Nivedita Kamath
Dagmara Borzych-Dużałka
Amrit Kaur
Gisela Neto
Klaus Arbeiter
Yok Chin Yap
Annie Lahoche
Loai Eid
Nakysa Hooman
Troy Richardson
Franz Schaefer
Bradley A. Warady
on behalf of the IPPN participants
Publikationsdatum: 05.07.2023
Verlag: Springer Berlin Heidelberg
Erschienen in: Pediatric Nephrology / Ausgabe 12/2023
Print ISSN: 0931-041X
Elektronische ISSN: 1432-198X
DOI: https://doi.org/10.1007/s00467-023-05995-x

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Pediatric peritoneal dialysis training program and its relationship to peritonitis: a study of the International Pediatric Peritoneal Dialysis Network