Could Falling Peritonitis Rates be Increasing PD Prevalence at Fraser Health?

Could Falling Peritonitis Rates be Increasing PD Prevalence at Fraser Health?

As we reported just last week, PD prevalence at Fraser Health hit 30%.  In attempting to determine what we’ve done right, I had a quick look at our PD peritonitis rates.  Peritonitis is a strong driver of PD technique failure – some patients never come back to PD after an episode of this type of infection.  We’ve worked really hard over the past few years to reduce infections and it seems to have worked.

Here are few snapshots I’ve pulled from Renal Connect:

Our peritonitis rate in 2009 was 1 in 22.4 months

 

Peritonitis rate in 2010 was 1 in 26.9 months

Peritonitis rate in 2011 was 1 in 29.8 months

Peritonitis rate in 2012 so far is 1 in 34.6 months

In the past 6 months, our rate is down to 1 in 40.5 months.

 

I’m hopeful that we can maintain a peritonitis rate of less than 1 in 40 months.  Many had suggested that as we increase the pool of individuals to whom we offer PD, we might see an increase in infection and a fall in technique survival.  Thus far, as our program has grown and surpassed the 30% prevalence mark we’ve seen a fall in peritonitis rates.  As we transition our data collection to PROMIS, I’m hoping I’ll be able to report our technique survival data and show encouraging results.

 

 

 

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