Holloway M, Mujais S, Kandert M, Warady B A
Amgen, Inc., Thousand Oaks, California 91320, USA.
Perit Dial Int. 2001 Jul-Aug;21(4):401-4.
Peritonitis is the leading cause of technique failure in pediatric patients on peritoneal dialysis. A survey was developed to determine what impact, if any, training practices and staffing patterns have on peritonitis rates in pediatric patients.
A survey developed by the International Society for Peritoneal Dialysis Advisory Committee on Peritonitis Management in Pediatric Patients.
The survey was distributed to 168 centers and was completed by 76 (45%) centers. A total of 597 children younger than 21 years of age received peritoneal dialysis in these centers.
The peritonitis rate was significantly lower (1 episode/19.9 months vs 1 episode/13.5 months; p < 0.05) in programs characterized by larger patient numbers (> or = 15 patients vs < 15 patients) and longer training time dedicated to theory and practical/technical skills (p < 0.01).
Peritoneal dialysis training is an important factor that influences the rate of peritonitis. The results of this survey reinforce the value of the time committed to this effort.
腹膜炎是小儿腹膜透析患者技术失败的主要原因。开展一项调查以确定培训方法和人员配置模式对小儿患者腹膜炎发生率是否有影响以及有何种影响。
由国际腹膜透析学会小儿患者腹膜炎管理咨询委员会开展的一项调查。
该调查发放至168个中心，76个（45%）中心完成了调查。这些中心共有597名21岁以下儿童接受腹膜透析。
在患者数量较多（≥15例患者对比＜15例患者）且用于理论及实践/技术技能培训时间较长的项目中，腹膜炎发生率显著较低（1次发作/19.9个月对比1次发作/13.5个月；p＜0.05）（p＜0.01）。
腹膜透析培训是影响腹膜炎发生率的一个重要因素。本次调查结果强化了为此投入时间的价值。
