Evidence map›Paper›PMID 40633943›Full record

ArticleTherapeutic apheresis and dialysis : official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy2025

Peritoneal Lavage With Low GDP Neutral pH PD Solution Reduces Mortality and Severity in a Lethal Peritonitis Model.

Masato Ikeda, Kotaro Haruhara, Yukio Maruyama, Naoko Tanaka, Risa Kusanagi, Yuri Sakamaki, Hitomi Hagiwara, Takashi Yokoo

Abstract read
In one paragraph

Article in Therapeutic apheresis and dialysis : official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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. Peritoneal Lavage With Low GDP Neutral pH PD Solution Reduces Mortality and Severity in a Lethal Peritonitis Model.Therapeutic apheresis and dialysis : official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy · 2025
    Article
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

8 authors.

Masato IkedaDivision of Nephrology and Hypertension, The Jikei University Kashiwa Hospital, Chiba, Japan.ORCID https://orcid.org/0000-0003-3583-5975
Kotaro HaruharaDivision of Nephrology and Hypertension, The Jikei University Kashiwa Hospital, Chiba, Japan.ORCID https://orcid.org/0000-0003-1918-0390
Yukio MaruyamaDivision of Nephrology and Hypertension, The Jikei University School of Medicine, Tokyo, Japan.ORCID https://orcid.org/0000-0002-5602-8104
Naoko TanakaEvaluation Center, Terumo Corporation, Ashigarakami, Kanagawa, Japan.
Risa KusanagiEvaluation Center, Terumo Corporation, Ashigarakami, Kanagawa, Japan.
Yuri SakamakiEvaluation Center, Terumo Corporation, Ashigarakami, Kanagawa, Japan.
Hitomi HagiwaraEvaluation Center, Terumo Corporation, Ashigarakami, Kanagawa, Japan.
Takashi YokooDivision of Nephrology and Hypertension, The Jikei University School of Medicine, Tokyo, Japan.ORCID https://orcid.org/0000-0003-1838-7998

Funding

Terumo Corporation
6 · The paper itself

Abstract

introductionThe efficacy of peritoneal lavage monotherapy using PD solution for severe peritonitis remains unproven.

methodsWe evaluated the effects of 3-times and 6-times lavage using low GDP neutral PD solution on a Methicillin-sensitive Staphylococcus aureus (MSSA) lethal peritonitis model rats without antibiotic use. Changes in effluent viable bacteria numbers dependent on lavage frequency were determined in a further 10 rats.

resultsCompared to the lethal peritonitis model without lavage, both 3-times and 6-times lavage significantly reduced 24-h mortality, effluent FDP and creatinine concentrations. Furthermore, 6-times lavage significantly prevented the rough fur development, intraabdominal adhesion, and pus formation which developed in both the 0-times and 3-times lavage groups. The effluent viable bacterial counts showed significant step-ladder decreases with an increasing number of the lavages.

conclusionWe demonstrated for the first time that lavage monotherapy using PD solution reduces mortality and severity in a lethal peritonitis model by rapidly eliminating bacteria without antibiotic use.

Indexed as

Dialysis SolutionsPeritoneal LavagePeritonitisStaphylococcal InfectionsAnimalsDisease Models, AnimalHydrogen-Ion ConcentrationMaleRatsSeverity of Illness IndexStaphylococcus aureusDialysis Solutions

Identifiers

PMID40633943
PMCPMC12411685

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.