Significado del catéter para los(as) adolescentes en diálisis .. una herramienta útil en el estudio de la tasa de infección y disfunción en dos tipos de en la colocación de catéter de Tenckhoff en pacientes con diálisis peritoneal continua . Introducción La disfunción del catéter de diálisis peritoneal se puede originar for self-locating catheters as compared with other Tenckhoff catheter designs. Adherence to the silicone rubber Tenckhoff catheter has been identified as one factor in the pathogenesis and persistence of these infections. We have studied.

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The adolescents must cope simultaneously with the challenges from adolescence and the illness. We compared patients with and without catheter dysfunction, searching for factors associated with this phenomenon Table 1. Perit Dial Int ;28 6: Patient and surgical registry characteristics.

Comparison of patients with peritoneal dialysis catheter dysfunction and those without. Editora da UFSC; Health professionals also could help the adolescents thru facilitating meetings with other adolescents living similar health conditions who are coping successfully with the catheter and the illness. You can change the settings or obtain more information by clicking here. Mean patient age was Catheter replacement was requested by the nephrology department, once salvage treatment was determined to have failed.

Health professionals should make efforts to ensure lasting of the support groups such as finding a special meeting place, scheduling the meetings, and solving any meeting difficulties that could happen. Instead, they should wear long and wide pants, big blouses covering the neck.

Factors associated with early peritoneal dialysis catheter replacement in Veracruz, Mexico

We present the case of a patient in which the administration of lanthanum carbonate produced severe constipation and displacement of the catheter to the point where peritoneal dialysis treatment became impossible. Natalia, who most of the time was in peritoneal dialysis and with severe ascitis, was forced to wear very loose clothes. To be active in peritoneal dialysis, the adolescent should have the daily dialysis according to the Renal Unit Protocols; to be active in hemodialysis, the adolescent should come to the Renal Unit four times a week for dialysis.


On one hand, they are living in a permanent stage of ambivalence, contradictions, and search; they are concerned by and frequently unhappy with their physical appearance due to the physiologic and morphologic changes they are going thru; they struggle for their independence and continuously seek for identity.

Except for omentectomy, we did not discover any risk factors for catheter replacement in our study population. The study findings show that for the adolescents, being in dialysis for a kidney chronic illness entails many efforts in learning tejckhoff live with all changes and losses due to the dialysis catheter.

Due to the need of being especial and unique, adolescents are egocentric; this makes them to think whatever exists and concerns them, also exists and concerns everybody else. Our study showed a considerable level of effectiveness and safety in PD catheter placement using an open surgical approach with an infra-umbilical midline incision. With the goal of minimising morbidity rates associated with this therapy, 13 it is important to take into account patient characteristics that increase the risk of developing complications, making an examination of pre-existing conditions necessary.

Patients that underwent an omentectomy had a lower incidence of catheter dysfunction The 8 patients with surgical wound infections 3. He almost completely discarded all of the recreational activities, even playing soccer which was his favorite sport. Factors associated with catheter dysfunction.

One of the intrinsic properties tenkhoff the omentum disfuncon that, when it comes into contact with a foreign body, it attempts to surround and isolate it. Although we observed several factors, including age, BMI, BSA, wound infection, and post-incisional hernia that were associated with catheter dysfunction in the univariate analysis, none were associated with a higher risk of catheter dysfunction and replacement in the logistic regression analysis.

The authors affirm that they have no conflicts of interest related to the content of this article.

Omental wrapping was a very common cause of catheter dysfunction in our study 3. We did not observe a similar association for omentopexy. We performed a retrospective review of clinical histories from patients with end-stage renal disease that underwent open surgery for catheter placement in preparation for the start of PD.

Factors associated with early peritoneal dialysis catheter replacement in Veracruz, Mexico

We received approval from the Institutional Review Board and the Bioethics Committee for data collection and analysis, respectively. The teenager boys in hemodialysis also had to change their way of dressing to sport clothes and loose T-shirt.


We performed a simple descriptive analysis of the data. Also we want to thank the adolescents’ fathers and mothers and the staff from the renal unit where the adolescents were seen for facilitating the interaction between the adolescents and the researcher who did the adolescents’ interviews.

The boys avoided being with peers and used the dialysis procedure in the evenings as a plausible excuse for not going out with peers and friends.

Lanthanum carbonate and peritoneal catheter dysfunction

They understood the catheter was the main reason for having all the restrictions they had to live everyday, not the illness as such. Before collecting data, one of the researchers contacted the adolescents and their parents during two months.

The authors affirm that they have no conflicts of interest related to the content of this article. Catheter dysfunction appeared after a mean 6. The adolescents did not have any idea about the catheter dimensions; they thought the dialysis catheter was like the peripheral IV catheters they were familiar with. Tiong et al 5 analysed several factors related to catheter dysfunction and found that patients with a background of diabetes, glomerulonephritis, or previous abdominal surgery had a higher probability OR: La insuficiencia renal terminal afecta todas las dimensiones de la vida de las personas.

Predictive factors for peritoneal dialysis catheter dysfunction. We did not observe any relationship with other aspects of surgery, such as previous abdominal surgery or pre-existing medical conditions for example, diabetes mellitus, polycystic kidney disease that might affect selection criteria for entering our PD programme in the future.

The majority catdter studies assessing PD catheter placement place special emphasis on a previous history of abdominal surgery as a potential risk for PD complications.

Subscribe to our Newsletter. Ten patients developed post-incisional hernias during the first year after catheter placement.