Better Oral Hygiene Habits Are Associated With a Lower Incidence of Peritoneal Dialysis-Related Peritonitis.


Journal

Therapeutic apheresis and dialysis : official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy
ISSN: 1744-9987
Titre abrégé: Ther Apher Dial
Pays: Australia
ID NLM: 101181252

Informations de publication

Date de publication:
Apr 2019
Historique:
received: 13 03 2018
revised: 24 08 2018
accepted: 27 08 2018
pubmed: 26 10 2018
medline: 28 7 2019
entrez: 25 10 2018
Statut: ppublish

Résumé

Some peritoneal dialysis (PD)-related peritonitis cases are thought to be caused by the pathogens in the oral cavity; however, the relationship between peritonitis and oral hygiene habits is unclear. In this study, we retrospectively examined the relationship between oral hygiene habits and peritonitis in patients who agreed to a questionnaire survey. Of the 75 patients, 37 patients developed PD-related peritonitis during the observation period. Peritonitis-free survival was significantly higher in patients who spent more time on oral hygiene daily and in patients who replaced their toothbrush more frequently (P < 0.05). According to multivariable analysis, increased daily oral hygiene duration and more frequent toothbrush replacement were associated with a significantly (P < 0.01) lower risk for peritonitis (hazard ratio [HR] 0.37 [95% CI, 0.18-0.77] and HR 0.35 [95% CI, 0.17-0.70], respectively). In conclusion, PD patients with superior oral hygiene habits showed a lower risk for PD-related peritonitis.

Identifiants

pubmed: 30354003
doi: 10.1111/1744-9987.12757
doi:

Types de publication

Journal Article

Langues

eng

Pagination

187-194

Commentaires et corrections

Type : CommentIn

Informations de copyright

© 2018 International Society for Apheresis, Japanese Society for Apheresis, and Japanese Society for Dialysis Therapy.

Auteurs

Hideaki Oka (H)

Division of Kidney Center, Matsuyama Red Cross Hospital, Matsuyama, Japan.
Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.

Shunsuke Yamada (S)

Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.

Taro Kamimura (T)

Division of Kidney Center, Matsuyama Red Cross Hospital, Matsuyama, Japan.

Seishi Aihara (S)

Division of Kidney Center, Matsuyama Red Cross Hospital, Matsuyama, Japan.
Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.

Masahide Hyodo (M)

Department of Dentistry and Oral Surgery, Matsuyama Red Cross Hospital, Matsuyama, Japan.

Nagaaki Terakado (N)

Department of Dentistry and Oral Surgery, Matsuyama Red Cross Hospital, Matsuyama, Japan.

Atsumi Harada (A)

Division of Kidney Center, Matsuyama Red Cross Hospital, Matsuyama, Japan.

Toshiaki Nakano (T)

Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Department of Integrated Therapy for Chronic Kidney Disease, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.

Kazuhiko Tsuruya (K)

Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Department of Integrated Therapy for Chronic Kidney Disease, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.

Takanari Kitazono (T)

Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.

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