腹膜透析病人系统湿污染自我报告现状及影响因素研究

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Research on the statusquo of self-reporting of system wet contamination in peritoneal dialysis patients anditsinfluencingfactors

CHEN Pingli，PENG Yuan*，ZENG Fang，YANG Guang，ZOU Fuying

Ganzhou People's Hospital（Southern Hospital Ganzhou Hospital），Jiangxi34100o Chir

*Corresponding Author PENG Yuan，E-mail： yuanpeng1229@163.com

AbstractObetieTovestigateteatusuoofsefreportingofsteetctamiationinperioaldalysispaintsandaalyits influencingfactors.Methods：Atotalof83patientshoexperiencedsystemwetcontamiationatperitonealdialysiscenterinatertry grade AhospitalinGanzhoucitywereselectedasthestudysubjectsfrom January 2O18toDecember2O23.Data werecolectedusing self-designedgeralifoatiouestioaidetaatioiicaldataquestioieesultsongth3prioalalis patients with system wet contamination， 36（43.37% ）reported the incident them selves.The results of multivariate analysis showed that educatioallevelandthecauseofwetcontamiationwereinfluencigfactorsofselfreportingofsystemwetcontaminationinperitoneal dialysis patients.Among the 36 self-reporting patients， 33（91.67% prophylactically used antibiotics.The incidence of peritoneal dialysis-associated peritonitis （PDAP） was 22.00% in patients who did not prophylactically use antibiotics，compared to 3.03% in those who did，showing a statisticallysignificantdifference（ P=0.0 16）.Conclusions：The self-reporting rate of system wet contamination in peritoneal dialysis patientswasrelativelylowerihducatioalevelandteuseftcotamiatioeingifluenigfactors.Teateofpretiveuse of antibiotics after selfreporting was higher，and such prophylaxis significantly reduced the risk of peritonitis.

Keywordsperitonealdialysis;wetcontamination;peritonealdialsisasociatedperitonitis;selfreporting;influencingfactors

腹膜透析相关性腹膜炎（peritonealdialysis-associated peritonitis，PDAP）是腹膜透析（peritoneal dialysis，PD）病人最常见且严重的并发症之一，也是导致腹膜透析病人退出腹膜透析和死亡的重要原因[1-3]。（剩余7490字）