Yonsei Med J.  1990 Mar;31(1):65-70. 10.3349/ymj.1990.31.1.65.

Influence of nutritional status on CAPD peritonitis

Affiliations
  • 1Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.

Abstract

To investigate the effect of nutritional status of continuous ambulatory peritoneal dialysis (CAPD) patients on the development of peritonitis, a cross-sectional study of the nutritional status of 79 CAPD patients and a retrospective study on the incidence of peritonitis in these patients were done. The incidences of peritonitis were compared according to the nutritional status of these patients on CAPD. Protein-caloric malnutrition assessed by a score system based on triceps skinfold thickness, mid-arm circumference, serum albumin level and relative body weight was demonstrated in 27 patients (34%) among 79 total CAPD patients. The incidence of peritonitis was significantly higher in poor nutritional status patients, with 1.09 +/- 0.86/patient-year, than that in normal nutritional status patients with 0.64 +/- 0.72/patient-year (p less than 0.05). In patients with the same nutritional status, patients using Dianeal solution had a trend of a lower incidence of peritonitis than those using Peritosol solution. In conclusion, the nutritional status and possibly the type of CAPD solution may influence CAPD peritonitis as risk factors.

Keyword

Nutritional status; CAPD; protein-caloric malnutrition; peritonits

MeSH Terms

Comparative Study
Dialysis Solutions/adverse effects
Female
Human
Male
*Nutritional Status
Peritoneal Dialysis, Continuous Ambulatory/*adverse effects
Peritonitis/*etiology
Support, Non-U.S. Gov't
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