Korean Journal of Nephrology 1994;13(2):300-306.

Double Bag System에 의한 지속성 외래 복막투석 환자의 임상성적

문성대 , 윤형규 , 추교영 , 김석은 , 박인석 , 장윤식 , 방병기

Abstract

Peritontis is a major complication in continuous am- bulatory peritoneal dialysis (CAPD). Several connection techniques have developed to reduce the rate of per- itontis. This study was designated to evaluate the effect of the double bag system on the prevalence of peritonitis in patients with CAPD. We investigated 42 patients who were started CAPD by double bag system during 1991. 4 to 1993. 6. All patients had confirmed as end stage renal disease and had followed up monthly after initiation of CAPD. The rate of peritonitis and characteristics of patients were evaluated. The following result were obtained: 1) The mean age was 53 years and the sex distribution was 28 males to 14 females. Underlying renal dieases were 11 chronic glomerulonephritis, 30 diabetic nephropathy and 1 billateral cortical necrosis. 2) Peritonitis incidence showed 1 episode/15.39 patient-months and 0.779 episode/patient/year. 3) The positive rate in culture of peritoneal dialysate was 71.05%. Of the organisms isolated from patients with peritonitis, gram positive cocci account for 55.5% (33% coagulase negative staphylococcus, 18.5% Stapylococcus aureus) and gram negative bacilli account for 29.6%. Candida species account for 14.8%. 4) The common cause of deaths were CAPD peritonitis with sepsis, cerebrovascular accident and cardiovascular complication. In conclusion, double bag system is effective method to prevent CAPD peritonitis that is major complication in performing CAPD.