Stegmayr B G, Granbom L, Tranaeus A, Wikdahl A M
Department of Internal Medicine, University Hospital, Umeå, Sweden.
Perit Dial Int. 1991;11(2):128-30.
A common route for peritoneal infection is the bag transfer connecting site. To investigate possible reduction of such transfer infections with the use of a bag transfer set (UV-XD, Travenol, Baxter, Minneapolis), this study sampled patients using a transfer set with or without UV light sterilization. Calculations excluded peritonitis due to penetrating tunnel infection or defective peritoneal dialysis bag (4 episodes in 2 patients). The study included 51 patients with a median age of 62 years (range 25-81). Five were switched from manual connection (Travenol, Type II) to UV-XD, and each suffered from at least 2 peritonitis episodes during 9-24.5 months prior to the change to UV-XD. In this patient group, the incidence of peritonitis fell significantly from 1 peritonitis/4 to 1/21 months. The bag transfer set was used without UV light in 35 patients for a total of 178 months, producing an incidence of 1 episode/7.7 treatment months. These patients had significantly more peritonitis than 35 patients who used the UV light for a total of 416 months (1 episode/21 months). In 19 patients who used both techniques, there was less risk for peritonitis when UV light was used (p = 0.001). We conclude that the UV-XD device is simple to handle and may reduce the incidence of peritonitis, especially if the box is used in tandem with UV light sterilization.
腹膜感染的一个常见途径是袋式转接连接部位。为了研究使用袋式转接套件（UV-XD，Travenol公司，百特公司，明尼阿波利斯）是否可能减少此类转接感染，本研究对使用有或无紫外线消毒的转接套件的患者进行了抽样。计算时排除了因隧道穿刺感染或腹膜透析袋有缺陷导致的腹膜炎（2例患者共4次发作）。该研究纳入了51例患者，中位年龄为62岁（范围25 - 81岁）。5例患者从手动连接（Travenol公司，II型）改为使用UV-XD，在改用UV-XD之前的9 - 24.5个月期间，每位患者至少发生2次腹膜炎发作。在这个患者组中，腹膜炎的发生率从每4个月1次显著下降至每21个月1次。35例患者未使用紫外线的情况下使用袋式转接套件共178个月，腹膜炎发生率为每7.7个治疗月1次发作。这些患者的腹膜炎发生率显著高于35例共使用紫外线416个月的患者（每21个月1次发作）。在19例同时使用两种技术的患者中，使用紫外线时发生腹膜炎的风险更低（p = 0.001）。我们得出结论，UV-XD装置操作简便，可能会降低腹膜炎的发生率，特别是如果该装置与紫外线消毒联合使用。
