ORIGINAL ARTICLE
Year : 2020 | Volume
: 38 | Issue : 1 | Page : 13--15
Peritonitis profile in a cohort of extreme poverty patients on continuous ambulatory peritoneal dialysis-5 year experience from a South Indian public private partnership model PD programme
Mayoor V Prabhu1, KN Sanman2, Ranjit Shetty2, GG Laxman Prabhu2, BH Santhosh Pai3
1 Department of Nephrology, Kasturba Medical College, Mangalore; Manipal Academy of Higher Education, Manipal, India
2 Manipal Academy of Higher Education, Manipal; Department of Urology, Kasturba Medical College, Mangalore, India
3 Department of Nephrology, Yenepoya Medical College, (Yenepoya Deemed to be University), Mangalore, India
Correspondence Address:
Dr. B H Santhosh Pai
Department of Nephrology, Yenepoya Medical College, Yenepoya Deemed to be University, Mangalore, Karnataka
India
Introduction Limitations in finance and education is thought to translate into poor technique , understanding and thereby into higher incidence of peritonitis and ultimately poor patient and technique survival. This notion sometimes leads to such patients being denied Continuous Ambulatory Peritoneal Dialysis (CAPD). Methods: In 2013, 20 patients were initiated on CAPD under a Public Private Partnership (PPP) model project in Karnataka province, India. By regulation, they were required to belong to Below Poverty Line (BPL ) category which is a measure of extreme poverty. BPL is the equivalent of earning less than a dollar per day. They were followed up for peritonitis, technique and patient survival besides overall performance. Results: 20 patients were included ( Male: 60%, Mean age 56.7 years, Diabetic Nephropathy 48%). Peritonitis rate was 1 in 33.8 patient –months, with 3 episodes of Fungal Peritonitis (FP) including one of Candida Hemolunii. All FP led to termination of CAPD. Coagulase-Negative Staphylococcus (CoNS) was the most common pathogen isolated , accounting for 60% of the episodes. Technique survival was 15% and patient survival was 20% at 5 years. Cardiovascular disease, sepsis, and malignancy accounted for majority of the deaths. Conclusions: Patients with background of extreme poverty had peritonitis rates comparable to good centres, however patient survival at 5 years was lower. Educational or economic considerations did not seem to be an impediment to successful CAPD.
How to cite this article:
Prabhu MV, Sanman K N, Shetty R, Laxman Prabhu G G, Santhosh Pai B H. Peritonitis profile in a cohort of extreme poverty patients on continuous ambulatory peritoneal dialysis-5 year experience from a South Indian public private partnership model PD programme.Indian J Perit Dial 2020;38:13-15
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How to cite this URL:
Prabhu MV, Sanman K N, Shetty R, Laxman Prabhu G G, Santhosh Pai B H. Peritonitis profile in a cohort of extreme poverty patients on continuous ambulatory peritoneal dialysis-5 year experience from a South Indian public private partnership model PD programme. Indian J Perit Dial [serial online] 2020 [cited 2023 Jun 5 ];38:13-15
Available from: http://www.ijpd.org.in/article.asp?issn=0976-4194;year=2020;volume=38;issue=1;spage=13;epage=15;aulast=Prabhu;type=0 |
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