Jurnal Internasional Medical Journal of Indonesia FKUI Vol. 29 No. 3 2020
Dressing versus Non-Dressing Technique for Long-Term Exit-Site Care in Children on Continuous Ambulatory Peritoneal Dialysis: A Single-Center Retrospective Cohort Study
Dublin Core
Title
Jurnal Internasional Medical Journal of Indonesia FKUI Vol. 29 No. 3 2020
Dressing versus Non-Dressing Technique for Long-Term Exit-Site Care in Children on Continuous Ambulatory Peritoneal Dialysis: A Single-Center Retrospective Cohort Study
Dressing versus Non-Dressing Technique for Long-Term Exit-Site Care in Children on Continuous Ambulatory Peritoneal Dialysis: A Single-Center Retrospective Cohort Study
Subject
child, contact dermatitis, end-stage kidney disease, infection, peritonitis
Description
BACKGROUND There is no consensus on the optimal long-term exit-site care strategy in children on long-term peritoneal dialysis (PD) worldwide. Thus, this study aimed to compared the dressing versus non-dressing technique for long-term exit-site care to prevent PD-related infection.
METHODS This retrospective cohort study involved patients aged <18 years with end-stage kidney disease who were on continuous ambulatory PD at the Cipto Mangunkusumo Hospital between March 2014 and March 2019. Long-term exit-site
care was initiated within 3 months after the insertion of Tenckhoff catheter. The patients and caregivers can choose to either maintain the dressing method or change to the non-dressing method for the subsequent long-term exit-site care. The follow-up was performed until the following 6 months.
RESULTS Out of 34 patients, 18 were treated without dressing and 16 with dressing technique. The peritonitis rates were 0.17 and 0.06 episodes per year at risk in the non-dressing and dressing groups; the adjusted incidence rate ratio was 0.4 (95% confidence interval = 0.04–3.25; p = 0.4). Allergic contact dermatitis occurred in 15/18 (83%) patients in the non-dressing group and 11/16 (69%) in the dressing group before long-term exit-site care was applied. Ultimately, no patient in the non-dressing group developed allergic contact dermatitis, whereas 11 (69%) had allergic contact dermatitis in the dressing group at the end of follow-up.
CONCLUSIONS Non-dressing technique may increase the risk of peritonitis in children on long-term PD; however, it is beneficial for children vulnerable to allergic contact dermatitis.
METHODS This retrospective cohort study involved patients aged <18 years with end-stage kidney disease who were on continuous ambulatory PD at the Cipto Mangunkusumo Hospital between March 2014 and March 2019. Long-term exit-site
care was initiated within 3 months after the insertion of Tenckhoff catheter. The patients and caregivers can choose to either maintain the dressing method or change to the non-dressing method for the subsequent long-term exit-site care. The follow-up was performed until the following 6 months.
RESULTS Out of 34 patients, 18 were treated without dressing and 16 with dressing technique. The peritonitis rates were 0.17 and 0.06 episodes per year at risk in the non-dressing and dressing groups; the adjusted incidence rate ratio was 0.4 (95% confidence interval = 0.04–3.25; p = 0.4). Allergic contact dermatitis occurred in 15/18 (83%) patients in the non-dressing group and 11/16 (69%) in the dressing group before long-term exit-site care was applied. Ultimately, no patient in the non-dressing group developed allergic contact dermatitis, whereas 11 (69%) had allergic contact dermatitis in the dressing group at the end of follow-up.
CONCLUSIONS Non-dressing technique may increase the risk of peritonitis in children on long-term PD; however, it is beneficial for children vulnerable to allergic contact dermatitis.
Creator
Cahyani Gita Ambarsari, Eka Laksmi Hidayati, Lily Mushahar, Agustina Kadaristiana
Publisher
Fakultas Kedokteran Universitas Indonesia
Date
2020-10-05
Contributor
Sri Wahyuni
Rights
ISSN : 0853-1773
Format
PDF
Language
English
Type
Text
Coverage
Jurnal Internasional Medical Journal of Indonesia FKUI Vol. 29 No. 3 2020
Files
Citation
Cahyani Gita Ambarsari, Eka Laksmi Hidayati, Lily Mushahar, Agustina Kadaristiana, “Jurnal Internasional Medical Journal of Indonesia FKUI Vol. 29 No. 3 2020
Dressing versus Non-Dressing Technique for Long-Term Exit-Site Care in Children on Continuous Ambulatory Peritoneal Dialysis: A Single-Center Retrospective Cohort Study,” Repository Horizon University Indonesia, accessed March 12, 2025, https://repository.horizon.ac.id/items/show/894.
Dressing versus Non-Dressing Technique for Long-Term Exit-Site Care in Children on Continuous Ambulatory Peritoneal Dialysis: A Single-Center Retrospective Cohort Study,” Repository Horizon University Indonesia, accessed March 12, 2025, https://repository.horizon.ac.id/items/show/894.