The effect of COVID-19 pandemic on personal hygiene behavior and the frequency of peritonitis in peritoneal dialysis patients.

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 Pub Date : 2025-01-24 DOI:10.1111/1744-9987.14251

Ezgi Simsek, Dilek Barutcu Atas, Murat Tugcu, Arzu Velioglu, Izzet Hakki Arikan, Ebru Asicioglu

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Abstract

Introduction and aim: Peritonitis is a critical complication in peritoneal dialysis (PD) patients, making compliance with personal hygiene essential. This study examines the impact of the COVID-19 (Coronavirus Disease 2019) pandemic on hygiene behaviors and peritonitis incidence in PD patients.

Materials and methods: Fifty-two PD patients were assessed for hygiene behaviors, demographic, and medical data. Laboratory parameters and peritonitis culture results were compared before and after COVID-19.

Results: Post-COVID-19, significant improvements were observed in 11 hygiene behaviors, including hand washing (p < 0.001). The peritonitis rate decreased from 28.8.% to 13.5%, though this was not statistically significant (p = 0.093). Among those without post-COVID peritonitis, hand washing before connecting the transfer set and regular exit site dressing were more frequent.

Conclusion: Following COVID-19, PD patients demonstrated improved hygiene behaviors and reduced peritonitis rates. Emphasis on hand washing and exit site care is recommended in all PD programs.

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