Abstract

GRUART ARMANGUE, Paqui et al. Is tiredness a factor to be taken into account in peritoneal infections?. Rev Soc Esp Enferm Nefrol [online]. 2011, vol.14, n.3, pp.167-171. ISSN 1139-1375.

Peritoneal infection is an inflammation of the peritoneal membrane usually caused by bacterial infection. The effects generated by a peritoneal infection are of vital importance for maintaining peritoneal dialysis treatment. In some of these infections, it is necessary to remove the catheter and consequently change to haemodialysis, the transfer to which represents one fifth of peritoneal infections. The causes of the failure in the dialytic technique are diverse. The aim of our study is to review the factors that may have had an influence on the incidence of peritoneal infection. It is noted that 58% are Gram-positive, which means that more than half of the causing agents are saprophyte micro-organisms of the skin, 38% are Gram-negative, the possible cause of which is lack of hygiene. 4% are negative culture. The time of exposure is compared to the episodes of peritoneal infection. The staff allocated to the peritoneal dialysis unit in the years studied were 2 nurses on 12-hour shifts on alternate days and a nurse who worked 15 hours per week. In 2009 staffing was reinforced with a care nurse working a 7-hour morning shift. Since then learning programmes have been carried out without interruption by the same nurse in the shift agreed with the patient. Better dedication to training and carryout out re-training reduces the rate of peritoneal infection as patient tiredness and boredom can be detected before a peritoneal infection appears.

Keywords : Peritoneal dialysis; Peritoneal infection; Re-training; Tiredness of the tecnique.

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