Abstract: TH-PO914

Effects of Prospective Improvement Trail to Reduce the Incidence of Peritonitis in a Peritoneal Dialysis Population in Qatar

Session Information

  • Dialysis: Infection
    November 02, 2017 | Location: Hall H, Morial Convention Center
    Abstract Time: 10:00 AM - 10:00 AM

Category: Dialysis

  • 610 Dialysis: Infection

Authors

  • Khalil elesnawi, Mohamed amin, Hamad Medical Corporation, Doha, Qatar
  • Al-Ali, Fadwa S., Hamad Medical Corporation, Doha, Qatar
  • Hamad, Abdullah, Hamad Medical Corporation, Doha, Qatar
  • Lonappan, Vimala K, Hamad Medical Corporation, Doha, Qatar
  • Aly, Sahar, Hamad medical corporation, Doha, Qatar
  • Ibrahim, Rania Abdelaziz, Hamad Medical Corporation, Doha, Qatar
  • Ali, Ahlam, hamad medical corpartion, Doha, Qatar
  • Fouda, Tarek Ahmed, Hamad medical cooporation, Doha, Qatar
  • Ahamed, Hanaa, Hamad Medical Corporation, Doha, Qatar
Background

Peritonitis is the major complication in patients on peritoneal dialysis (PD).Peritonitis carries high morbidity and mortality.In addition it carries an economic burden of increasing hospitalization.We have 180 PD patients and over the period of 6 months in 2016 the peritonitis was average 4%. With this high incidence we decided to run a prospective improvement trial to reduce the incidence

Methods

We conducted a random survey for 60% of patients to determine daily practice.Root cause analysis for each case in the 6 months trial to identify risk factors.Based on the data, procedure check list created during monthly visits and re-training at same time.Regular home visit assessment and questionnaire taking for environmental evaluation and daily practice.All aspects of the trial were planned and drawn by Multidisciplinary team (MDT).

Results

110 Patients took part in the survey and after analysis of the data using pareto chart, 24% had poor hand hygiene,22% not using mask,20% had constipation,14% had an unsuitable environment at home,8% had poor personal hygiene,7% traveled abroad and 5% did not have adequate time to undertake the procedure properly.The incidence of peritonitis in the 6 months of the trial has fallen from average 4% to 1.4% which presents a 65% reduction of peritonitis.Furthermore there was 51.6% reduction in the overall medical cost

Conclusion

In this prospective trial we have demonstrated that peritonitis can be significantly reduced by MDT approach and monthly retraining of patients. Although there is medical and economical benefit,there is some cost implication for the monthly retraining.More work is needed to establish what would be the most effective frequency of training

Funding

  • Government Support - Non-U.S.