Effect of different types of dressings on early puncture site infection after peritoneal dialysis catheter implantation / 局解手术学杂志

ABSTRACT

Objective To explore the influence of dressings( occlusive and semi-occlusive) on puncture site infection of patients with peritoneal dialysis. Methods The clinical data of 2458 patients who underwent peritoneal dialysis and dressings in our hospital from January 2006 to January 2015 were collected. According to the type of dressings( occlusive or semi-occlusive) ,the patients were respectively divided into occlusive dressing group(2031 cases) and semi-occlusive dressing group (427 cases). The relationship between the two variants was an-alyzed with χ2 and the difference between the two groups was analyzed with the Logistic regression model. Results Among the 2,458 patients who underwent catheter placement,1778 patients (72. 25％) were subjected to open operation, 598 patients(24. 32％) were subjected to special trocar,81 patients (3. 29％) were subjected to laparoscopy and 3 patients (0. 12％) were subjected to embedded catheter. Through univariate analysis, OR of occlusive dressing was 2. 17 with 95％CI (0. 8～5. 74). After variant adjustment,OR of occlusive dressing group was 2. 15 (95％CI 0. 81～5. 70). The incidence of infection at the puncture site was unaffected by the type of dressing used. The combined results of puncture site infection and tunnel infection showed no significant difference between the two groups ( OR 1. 46, 95％CI 0. 72 ～2. 97). For the independent predictive factor on the ppuncture site of patients over 65 years old,OR was 2. 04, 95％CI (1. 25～3. 30). Con-clusion The type of dressings( occlusive and semi-occlusive) used after insertion of catheter during peritoneal dialysis has no influence on the early infection of puncture site,but the occlusive dressing is more suitable for clinical application due to less adverse reaction,easy opera-tion,low material cost and less workload on the nurses.