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A contemporary approach to the prevention of peritoneal dialysis-related peritonitis in children: the role of improvement science.
- Source :
-
Pediatric nephrology (Berlin, Germany) [Pediatr Nephrol] 2017 Aug; Vol. 32 (8), pp. 1331-1341. Date of Electronic Publication: 2016 Oct 18. - Publication Year :
- 2017
-
Abstract
- Peritonitis is a leading cause of hospitalizations, morbidity, and modality change in pediatric chronic peritoneal dialysis (CPD) patients. Despite guidelines published by the International Society for Peritoneal Dialysis aimed at reducing the risk of peritonitis, registry data have revealed significant variability in peritonitis rates among centers caring for children on CPD, which suggests variability in practice. Improvement science methods have been used to reduce a variety of healthcare-associated infections and are also being applied successfully to decrease rates of peritonitis in children. A successful quality improvement program with the goal of decreasing peritonitis will not only include primary drivers directly linked to the outcome of peritonitis, but will also direct attention to secondary drivers that are important for the achievement of primary drivers, such as health literacy and patient and family engagement strategies. In this review, we describe a comprehensive improvement science model for the reduction of peritonitis in pediatric patients on CPD.
- Subjects :
- Catheters, Indwelling microbiology
Child
Humans
Patient Education as Topic
Peritoneal Dialysis instrumentation
Peritoneal Dialysis methods
Peritoneal Dialysis standards
Peritonitis economics
Peritonitis epidemiology
Peritonitis etiology
Practice Guidelines as Topic
Quality Improvement
Registries statistics & numerical data
Risk Factors
Staphylococcal Infections economics
Staphylococcal Infections epidemiology
Staphylococcal Infections etiology
Staphylococcal Infections prevention & control
Staphylococcus aureus isolation & purification
Anti-Bacterial Agents therapeutic use
Antibiotic Prophylaxis methods
Catheters, Indwelling adverse effects
Cross Infection prevention & control
Kidney Failure, Chronic therapy
Peritoneal Dialysis adverse effects
Peritonitis prevention & control
Subjects
Details
- Language :
- English
- ISSN :
- 1432-198X
- Volume :
- 32
- Issue :
- 8
- Database :
- MEDLINE
- Journal :
- Pediatric nephrology (Berlin, Germany)
- Publication Type :
- Academic Journal
- Accession number :
- 27757588
- Full Text :
- https://doi.org/10.1007/s00467-016-3531-1