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image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Néphrologie & Thérap...arrow_drop_down
image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao
Néphrologie & Thérapeutique
Article . 2017 . Peer-reviewed
License: Elsevier TDM
Data sources: Crossref
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Le module cathéters du RDPLF a 20 ans : analyse descriptive et résultats

Authors: I. Vernier; E. Fabre; T. Lobbedez; M. Dratwa; C. Verger;

Le module cathéters du RDPLF a 20 ans : analyse descriptive et résultats

Abstract

Introduction Le but de ce travail est d’etudier les complications infectieuses et mecaniques des catheters de dialyse peritoneale et leur survie a partir des 9092 implantations enregistrees dans le module catheters (fiche de recueil version 1, 1997–2010, version 2 dite « v2 » depuis 2011). Patients et methodes Cent dix centres participent au module catheters. Au 31/12/2016, 9092 catheters sont inclus dont 4507 catheters « v2 » chez 4200 patients. Le recueil de donnees comprend le type de catheters utilises, les techniques d’implantation, l’utilisation d’antibioprophylaxie preoperatoire, les incidents precoces, les infections et germes responsables et leur evolution, les complications mecaniques des catheters et leur evolution. Resultats L’incidence des infections de catheter diminue : 1 episode tous les 68,25 mois × patient de 1997 a 2001, 1 episode tous les 75,45 mois × patient de 2011 au 31/12/2015. Ces infections sont precoces (36,7 % a 3 mois, 66,1 % a 1 an). Le recours a un operateur fidelise, l’antibioprophylaxie preoperatoire, le respect d’un intervalle > 7 jours pour le premier pansement diminuent significativement le risque infectieux. Les facteurs de risque significatifs sont : l’obesite des l’IMC a 25 (RR : 1,16, p = 0,05) ; les incidents precoces, hematome de paroi (RR 2,3, p = 1,7 × 10−5) et fuite parietale de dialysat (RR 2,5, p = 2 × 10−3). L’ecologie bacterienne evolue sur 20 ans : diminution constante des infections de catheter a S. aureus (68,03 % vs 32,33 %), augmentation des Pseudomonas (19,17 % vs 6,12 %). Les complications mecaniques sont encore plus precoces (66 % a 3 mois). Les catheters a extremite interne en queue de cochon se deplacent plus souvent (RR : 1,35, p Discussion Ce module permet d’identifier les facteurs de risque de complications mecaniques et infectieuses et constitue un outil d’evaluation des pratiques au niveau de chaque centre. Conclusion Le module catheter du RDPLF a 20 ans d’existence. Il s’agit de la premiere analyse d’ensemble de la plus grande serie de catheters de DP a notre connaissance. Groupe(s) de travail Centres participant au module catheter du RDPLF.

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
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