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Article: Comparison of double-bag and Y-set disconnect systems in continuous ambulatory peritoneal dialysis: A randomized prospective multicenter study

TitleComparison of double-bag and Y-set disconnect systems in continuous ambulatory peritoneal dialysis: A randomized prospective multicenter study
Authors
KeywordsPeritoneal dialysis
Peritonitis
Renal failure
Issue Date1999
PublisherWB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/ajkd
Citation
American Journal Of Kidney Diseases, 1999, v. 33 n. 3, p. 535-540 How to Cite?
AbstractWe performed a multicenter, single-blinded, prospective randomized study on the use of a double-bag disconnect system (B) versus a Y-set disconnect system (Y). The peritonitis rate, exit site infection, clinical outcome, and patients' acceptance to the procedure were assessed. A total of 120 new end- stage renal failure patients of three regional hospitals were randomized: 60 each to the B and the Y systems. The results of 60 patients on the B system and 51 on the Y system were analyzable. They were followed up for a median of 16 months. Peritonitis rates for the B and the Y systems were 33.5 and 29.4 patient-months per episode, respectively. Exit site infection rates for the B and Y systems were 17.4 and 16.0 patient-months per episode, respectively. Four catheters were removed in each group. Patients on the B system were hospitalized for 2.1 days per patient per year related to peritonitis and exit site infection, and those on the Y system were hospitalized for 1.2 days. There was no significant difference between the B and Y systems in the incidences of peritonitis (all causes and those due to coagulase-negative staphylococci), exit site infection, and in hospitalization days. However, there was a higher percentage of gram-positive infections in the Y system (52%) than in the B system (32%) and a lower percentage of gram-negative infections in the Y system (16%) than in the B system (32%). Patients on the B system had a better acceptance of the procedure than patients on the Y system, as assessed by a six-item, 10-point questionnaire (total score, 43.1 ± 10.2 v 37.6 ± 9.4; P < 0.005 at 1 month; 44.6 ± 9.1 v 39.8 ± 8.6; P < 0.01 at 6 months). From this study, it is concluded that the B and Y systems are similar in the incidences of peritonitis and exit site infection, although the B system is better accepted by patients. This is probably the first multicenter randomized study comparing the double-bag and Y-set disconnect system using only new patients who had never used other systems of continuous ambulatory peritoneal dialysis.
Persistent Identifierhttp://hdl.handle.net/10722/77009
ISSN
2015 Impact Factor: 6.269
2015 SCImago Journal Rankings: 2.313
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorLi, PKTen_HK
dc.contributor.authorCheuk Chun Szetoen_HK
dc.contributor.authorMan Ching Lawen_HK
dc.contributor.authorKa Foon Chauen_HK
dc.contributor.authorKa Shun Fungen_HK
dc.contributor.authorChi Bon Leungen_HK
dc.contributor.authorChun Sang Lien_HK
dc.contributor.authorSiu Fai Luien_HK
dc.contributor.authorKwok Lung Tongen_HK
dc.contributor.authorWai Kei Tsangen_HK
dc.contributor.authorKim Ming Wongen_HK
dc.contributor.authorKar Neng Laien_HK
dc.date.accessioned2010-09-06T07:27:17Z-
dc.date.available2010-09-06T07:27:17Z-
dc.date.issued1999en_HK
dc.identifier.citationAmerican Journal Of Kidney Diseases, 1999, v. 33 n. 3, p. 535-540en_HK
dc.identifier.issn0272-6386en_HK
dc.identifier.urihttp://hdl.handle.net/10722/77009-
dc.description.abstractWe performed a multicenter, single-blinded, prospective randomized study on the use of a double-bag disconnect system (B) versus a Y-set disconnect system (Y). The peritonitis rate, exit site infection, clinical outcome, and patients' acceptance to the procedure were assessed. A total of 120 new end- stage renal failure patients of three regional hospitals were randomized: 60 each to the B and the Y systems. The results of 60 patients on the B system and 51 on the Y system were analyzable. They were followed up for a median of 16 months. Peritonitis rates for the B and the Y systems were 33.5 and 29.4 patient-months per episode, respectively. Exit site infection rates for the B and Y systems were 17.4 and 16.0 patient-months per episode, respectively. Four catheters were removed in each group. Patients on the B system were hospitalized for 2.1 days per patient per year related to peritonitis and exit site infection, and those on the Y system were hospitalized for 1.2 days. There was no significant difference between the B and Y systems in the incidences of peritonitis (all causes and those due to coagulase-negative staphylococci), exit site infection, and in hospitalization days. However, there was a higher percentage of gram-positive infections in the Y system (52%) than in the B system (32%) and a lower percentage of gram-negative infections in the Y system (16%) than in the B system (32%). Patients on the B system had a better acceptance of the procedure than patients on the Y system, as assessed by a six-item, 10-point questionnaire (total score, 43.1 ± 10.2 v 37.6 ± 9.4; P < 0.005 at 1 month; 44.6 ± 9.1 v 39.8 ± 8.6; P < 0.01 at 6 months). From this study, it is concluded that the B and Y systems are similar in the incidences of peritonitis and exit site infection, although the B system is better accepted by patients. This is probably the first multicenter randomized study comparing the double-bag and Y-set disconnect system using only new patients who had never used other systems of continuous ambulatory peritoneal dialysis.en_HK
dc.languageengen_HK
dc.publisherWB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/ajkden_HK
dc.relation.ispartofAmerican Journal of Kidney Diseasesen_HK
dc.subjectPeritoneal dialysisen_HK
dc.subjectPeritonitisen_HK
dc.subjectRenal failureen_HK
dc.titleComparison of double-bag and Y-set disconnect systems in continuous ambulatory peritoneal dialysis: A randomized prospective multicenter studyen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0272-6386&volume=33&issue=3&spage=535&epage=540&date=1999&atitle=Comparison+of+double-bag+and+Y-set+disconnect+systems+in+continuous+ambulatory+peritoneal+dialysis:+a+randomized+prospective+multicenter+studyen_HK
dc.identifier.emailKar Neng Lai: knlai@hku.hken_HK
dc.identifier.authorityKar Neng Lai=rp00324en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.pmid10070918-
dc.identifier.scopuseid_2-s2.0-0033011956en_HK
dc.identifier.hkuros50652en_HK
dc.identifier.hkuros41520-
dc.identifier.volume33en_HK
dc.identifier.issue3en_HK
dc.identifier.spage535en_HK
dc.identifier.epage540en_HK
dc.identifier.isiWOS:000078878400015-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridLi, PKT=25928016800en_HK
dc.identifier.scopusauthoridCheuk Chun Szeto=19642162100en_HK
dc.identifier.scopusauthoridMan Ching Law=19735891600en_HK
dc.identifier.scopusauthoridKa Foon Chau=19734795100en_HK
dc.identifier.scopusauthoridKa Shun Fung=19734933600en_HK
dc.identifier.scopusauthoridChi Bon Leung=7409680907en_HK
dc.identifier.scopusauthoridChun Sang Li=7409844347en_HK
dc.identifier.scopusauthoridSiu Fai Lui=7409853185en_HK
dc.identifier.scopusauthoridKwok Lung Tong=19735335400en_HK
dc.identifier.scopusauthoridWai Kei Tsang=19739520700en_HK
dc.identifier.scopusauthoridKim Ming Wong=19735115900en_HK
dc.identifier.scopusauthoridKar Neng Lai=7402135706en_HK

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