Renal dialysis

UK Renal Registry 19th Annual Report: Chapter 8 Biochemical Variables amongst UK Adult Dialysis Patients in 2015: National and Centre-specific Analyses (2017)

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Type of publication:
Journal article

Author(s):
Methven S.; Perisanidou L.I.; *Nicholas J. ; Dawnay A.

Citation:
Nephron; Sep 2017; vol. 137 (no. 1); p. 189-234

Abstract:
64.1% of haemodialysis (HD) patients and 60.5% of peritoneal dialysis (PD) patients achieved the Renal Association (RA) audit measure for phosphate (<1.7 mmol/L). . 35.9% of HD and 39.5% of PD patients had a serum phosphate above the RA audit standard (>=1.7 mmol/L). Simultaneous control of all three parameters (calcium, phosphate and parathyroid hormone (PTH)) within current target ranges was achieved by 27.6% of HD and 33.1% of PD patients. 79.3% of HD and 77.8% of PD patients had adjusted calcium in the recommended target range of 2.2-2.5 mmol/L. 57.1% of HD and 61.3% of PD patients had phosphate between 1.1-1.7 mmol/L. 56.8% of HD and 63.6% of PD patients had a serum PTH between 16-72 pmol/L. 18.8% of HD and 13.9% of PD patients had a serum PTH >72 pmol/L. 64.3% of HD and 80.4% of PD patients achieved the audit measure for bicarbonate 18-24 mmol/L for HD patients and 22-30 mmol/L for PD patients).

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UK Renal Registry 19th Annual Report: Chapter 10 Epidemiology of Reported Infections in Patients Receiving Dialysis in England between January 2015 and December 2015: A Joint Report from Public Health England and the UK Renal Registry (2017)

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Type of publication:
Journal article

Author(s):
*Crowley L.; MacNeill S.; Caskey F.J.; Methven S.; Nsonwu O.; Davies J.; Fluck R.; Byrne C.

Citation:
Nephron; Sep 2017; vol. 137 (no. 1); p. 251-257

Abstract:
Between January 2015 and December 2015 there were a total of 31 episodes of Methicillin Resistant Staphylococcus aureus (MRSA) bacteraemia in patients receiving dialysis for end stage renal disease. The rate of MRSA episodes per 100 dialysis patient years was 0.13 compared to 0.15 the previous year. Rates of Methicillin Sensitive Staphyloccoccus aureus (MSSA) continued their gradual increase with a rate of 2.35 per 100 patient years compared with 2.26 the year before. This was a result of 560 episodes of bloodstream infection between January and December. Rates of Clostridium difficile infection (CDI) were stable with 245 recorded episodes giving a rate of 1.03 per 100 patient years. Escherichia coli (E.coli) infections occurred at a rate of 1.7 per 100 dialysis patient years, an increase on the previous year's rate of 1.49. As found in previous years, a tunnelled catheter was associated with a higher number of infection episodes than other forms of access in those patients with a staphylococcal bacteraemia.

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