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Kidney Week

Abstract: PO0991

Nationwide Standardized Peritonitis Reporting: Preliminary Results from the Optimizing the Prevention of Peritoneal Dialysis-Associated Peritonitis in the United States (OPPUS) Study

Session Information

  • Peritoneal Dialysis
    November 04, 2021 | Location: On-Demand, Virtual Only
    Abstract Time: 10:00 AM - 12:00 PM

Category: Dialysis

  • 702 Dialysis: Home Dialysis and Peritoneal Dialysis

Authors

  • Perl, Jeffrey, St. Michaels, Toronto, Ontario, Canada
  • Block, Geoffrey A., US renal care, Plano, Texas, United States
  • Schreiber, Martin J., DaVita Inc, Denver, Colorado, United States
  • Piraino, Beth M., University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States
  • Watnick, Suzanne, Northwest Kidney Centers, Seattle, Washington, United States
  • Bansal, Shweta, The University of Texas Health Science Center at San Antonio, San Antonio, Texas, United States
  • Srivatana, Vesh, Rogosin Institute, New York, New York, United States
  • Masud, Tahsin, Emory University, Atlanta, Georgia, United States
  • Garcia, Leslie, Arbor Research Collaborative for Health, Ann Arbor, Michigan, United States
  • Kane, Lauren, Arbor Research Collaborative for Health, Ann Arbor, Michigan, United States
  • McCullough, Keith, Arbor Research Collaborative for Health, Ann Arbor, Michigan, United States
  • Teitelbaum, Isaac, University of Colorado School of Medicine, Aurora, Colorado, United States
  • Pisoni, Ronald L., Arbor Research Collaborative for Health, Ann Arbor, Michigan, United States

Group or Team Name

  • OPPUS Peritonitis Tracker Study consortium
Background

Peritoneal Dialysis (PD) associated peritonitis is the leading cause of transfer to hemodialysis (HD) in the US. No formal mechanism or surveillance system exists for nationwide peritonitis reporting. Our primary aim was to develop a uniform widescale peritonitis reporting mechanism and evaluate its implementation via a one-year pilot study.

Methods

Following literature review, stakeholder consultation, and ISPD guidelines review, a web-based peritonitis tracker tool (OPPUS-Link) was developed. Pilot sites for one-year data collection were selected based on geography and reported peritonitis rates, including 3 medium-large dialysis organizations. We provided formal training, central data review, and adjudication of all peritonitis episodes and outcomes.

Results

Initial data for 31/64 participating facilities includes 86 peritonitis episodes (rate of 0.26 episodes/year [326 patient years of follow-up]). PD catheter removal and hospitalization occurred in 14% and 41% of episodes respectively (see table). Ongoing challenges include high rates of culture-negative peritonitis (24% overall) and data retrieval for peritonitis episodes occurring during hospitalization.

Conclusion

Standardized, uniform peritonitis reporting is feasible, a first step in national PD-peritonitis surveillance, allowing for benchmarking, outbreak identification, and quality improvement initiative implementation. Further data validation is necessary and integrating routine peritonitis reporting in electronic health records with an overall goal of peritonitis reduction and improved outcomes for PD patients.

Funding

  • Other NIH Support