Evidence map›Paper›PMID 30604230›Full record

ArticleInternational urology and nephrology2019

Current epidemiology and practice patterns in prevention and treatment of PD-related infections in Poland.

Monika Lichodziejewska-Niemierko, Michał Chmielewski, Ewa Wojtaszek, Ewa Suchowierska, Edyta Gołembiewska, Magdalena Grajewska, Joanna Matuszkiewicz-Rowińska, Beata Naumnik, Beata Sulikowska, Stanisław Niemczyk and 9 more

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Article in International urology and nephrology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors.

Monika Lichodziejewska-NiemierkoDepartment of Nephrology, Transplantology and Internal Medicine, Medical University of Gdańsk, Gdańsk, Poland. lichotek@gumed.edu.pl.ORCID http://orcid.org/0000-0002-0262-3493
Michał ChmielewskiDepartment of Nephrology, Transplantology and Internal Medicine, Medical University of Gdańsk, Gdańsk, Poland.
Ewa WojtaszekDepartment of Nephrology, Dialysis and Internal Diseases, Medical University of Warsaw, Warsaw, Poland.
Ewa Suchowierska1st Department of Nephrology and Transplantation with Dialysis Unit, Medical University of Białystok, Białystok, Poland.
Edyta GołembiewskaDepartment of Nephrology, Transplantology and Internal Medicine, Pomeranian Medical University, Szczecin, Poland.
Magdalena GrajewskaDepartment of Nephrology, Hypertension and Internal Medicine, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, Bydgoszcz, Poland.
Joanna Matuszkiewicz-RowińskaDepartment of Nephrology, Dialysis and Internal Diseases, Medical University of Warsaw, Warsaw, Poland.
Beata Naumnik1st Department of Nephrology and Transplantation with Dialysis Unit, Medical University of Białystok, Białystok, Poland.
Beata SulikowskaDepartment of Nephrology, Hypertension and Internal Medicine, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, Bydgoszcz, Poland.
Stanisław NiemczykDepartment of Internal Diseases, Nephrology and Dialysis, Military Institute of Medicine, Warsaw, Poland.
Renata KłakDepartment of Nephrology and Transplantation Medicine, Wrocław Medical University, Wrocław, Poland.
Magdalena MosakowskaDepartment of Internal Diseases, Nephrology and Dialysis, Military Institute of Medicine, Warsaw, Poland.
Piotr JagodzińskiDialysis Unit, Fresenius Nephrocare, Gdańsk, Poland.
Bernadeta MarcykiewiczDialysis Unit, Fresenius Nephrocare, Kraków, Poland.
Krzysztof KalitaDialysis Unit, Fresenius Nephrocare, Sieradz, Poland.
Robert KrawczykDialysis Unit, Fresenius Nephrocare, Ostrów Wielkopolski, Poland.
Krzysztof CieszyńskiDialysis Unit, Fresenius Nephrocare, Ostrów Wielkopolski, Poland.
Mirosław AdamskiDialysis Unit, Fresenius Nephrocare, Zabrze, Poland.
Marek BronkClinical Microbiology Laboratory, University Hospital of Gdańsk, Gdańsk, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPeritoneal dialysis (PD) related infections are associated with technique failure and mortality. The aim of this multicentre study was to examine epidemiology, treatment and outcomes of PD-related infections in Poland as well as practice patterns for prevention of these complications in the context of current ISPD recommendations.

methodsA survey on PD practices in relation to infectious complications was conducted in 11 large Polish PD centres. Epidemiology of peritonitis and exit-site infections (ESI) was examined in all patients treated in these units over a 2 year period.

resultsThe study included data on 559 PD patients with 62.4% on CAPD. Practice patterns for prevention of infectious complications are presented. The rate of peritonitis was 0.29 episodes per year at risk, with Gram positive microorganisms responsible for more than 50% of infections and 85.8% effectively treated. Diagnosis and treatment followed ISPD guidelines however most units did not provide an anti-fungal prophylaxis. Although neither of the centres reported routine topical mupirocin on catheter exit-site, the rate of ESI was low (0.1 episodes per year at risk), with Staphylococcus aureus as most common pathogen and full recovery in 78.3% of cases.

conclusionThe study shows rewarding outcomes in prevention and treatment of PD-associated infections, mainly due to a thorough compliance with the current ISPD guidelines, although some deviations from the recommendations in terms of practice patterns have been observed. More studies are needed in large numbers of patients to differentiate the importance of specific recommendations and further support the guidelines.

Indexed as

Anti-Bacterial AgentsCatheter-Related InfectionsPeritonitisStaphylococcal InfectionsAdultAgedAntibiotic ProphylaxisFemaleHealth Care SurveysHumansMaleMiddle AgedPeritoneal DialysisPolandPractice Patterns, Physicians'Renal Insufficiency, ChronicAnti-Bacterial AgentsInfectionPeritoneal dialysisPeritonitis

Identifiers

PMID30604230

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.