Factors influencing catheter-related infections in peritoneal dialysis patients: a meta-analysis

影响腹膜透析患者导管相关感染的因素:一项荟萃分析

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Abstract

OBJECTIVE: Systematic analysis of factors influencing catheter-related infections in patients undergoing peritoneal dialysis. METHODS: A computerized search of Chinese and English databases was conducted to identify the factors affecting catheter-related infections in patients undergoing peritoneal dialysis. Studies with a search period from inception to July 31, 2024 were retrieved. Two researchers independently screened the literature using inclusion and exclusion criteria, and data extraction and quality assessments were performed. Meta-analysis was performed using RevMan5.4 and Stata software. RESULTS: In total, 13 studies were included and meta-analysis revealed that comorbid diabetes mellitus, insecure catheter fixation, dialysis duration >2 years, body mass index >20 kg/m(2), mechanical strain, lack of proper care, irregular caregivers, and history of catheter pulling (P < 0.05) were the influencing factors contributing to the incidence of catheter-related infections in patients undergoing peritoneal dialysis. CONCLUSIONS: Clinicians should pay close attention to these influencing factors and provide targeted preventive measures to prevent catheter-related infections.

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