The Japanese Journal of Clinical Dialysis Vol.21 No.3(4-4)

Theme Revisit of Clinical Path in Renal Replacement Therapy
Title Clinical pathway for CAPD peritonitis
Publish Date 2005/03
Author Misaki Moriishi Akane Foundation Nakajima Tsuchiya Clinic / Department of Artificial Organ, Akane Foundation Tsuchiya General Hospital
Author Hideki Kawanishi Department of Artificial Organ, Akane Foundation Tsuchiya General Hospital
Author Eriko Watanabe Department of Nursing, Akane Foundation Tsuchiya General Hospital
[ Summary ] Since the introduction of peritoneal dialysis (PD) peritonitis has become an acute disease with various clinical symptoms, for which it is difficult to establish a treatment schedule. For the purpose of standardization of CAPD peritonitis treatment, to save nursing work hours and improve risk management, we developed a clinical pathway for treatment of CAPD peritonitis. In this study, we evaluated 64 patients with peritonitis for 2 years before and after the introduction of the clinical pathway (27 patients before the introduction, 37 patients after the introduction). The mean admission period for recovered cases was 14.6±7.9 days (23/27 patients, 85.2 %) before the introduction and 12.8±5.8 days (33/37 patients, 89.2 %) after the introduction. In patients who failed to demonstrate clinical improvements, the mean period between the start of peritoneal treatment and peritoneal catheter removal was reduced from 23.5±9.0 days (4/27 patients, 14.8) before the introduction to 13.8±2.6 days (4/37 patients, 10.8 %) after the introduction.
The clinical pathway is useful for management of CAPD peritonitis. In the future, the clinical pathway for CAPD peritonitis will make it possible to utilize this as a tool to integrate medical treatment, by making changes in clinical courses.
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