The Role of Infection Prevention Education in Peritoneal Dialysis

Peritoneal dialysis is an alternative to hemodialysis that allows patients with kidney disease to have flexibility while maintaining dialysis and to maintain high quality of life. Persistent ambulatory peritoneal dialysis (CAPD), intermittent peritoneal dialysis (IPD), and continuous circulating peritoneal dialysis (CCPD) are some of the options that these patients can choose from. The permanent indwelling catheter is inserted into the peritoneum and the indwelling catheter is attached to the large bag of dialysate using sterile technique.

Peritoneal dialysis can be performed in two different ways; automatic peritoneal dialysis and continuous mobile peritoneal dialysis. Automated peritoneal dialysis was performed while the kidney dialysis patient was asleep and continuous portable peritoneal dialysis was performed approximately every 5 hours for 30 minutes every 4 hours. Patients undergoing peritoneal dialysis will be taken at their own home. Prior to initiation of peritoneal dialysis, patients were properly trained by nurses for 3 weeks. Once the training is over, the patient must be able to carry out his treatment.

There are two types of dialysis. That is, hemodialysis and peritoneal dialysis. Peritoneal dialysis can be done at home, requiring expert advice. Hemodialysis is a more common type of dialysis for kidney disease. This renal failure dialysis can only be done at the Bangalore dialysis center and dialysis hospital. The machine used for hemodialysis mimics the function of normal kidneys outside the body. Blood is taken into the machine, which filters blood and reintroduces blood into the body.

There are two types of dialysis: hemodialysis and peritoneal dialysis. The hemodialyzer is about the same size as a dishwasher, blood flows through the machine, and the machine filters blood like a kidney. Peritoneal dialysis uses the peritoneal lining called the peritoneum as a filter to purify the blood in the body. In the case of peritoneal dialysis, it is necessary to inject a fluid called dialysate into the abdomen. As a result, waste products are discharged to the blood and the body.

Mesothelial cells play an important role in maintaining peritoneal structure and intraperitoneal homeostasis. When peritoneal dialysate is exposed to peritoneal dialysate for a long time during long term peritoneal dialysis, peritoneal fibrosis occurs. Biocompatible dialysate causes uncontrolled interstitial transformation of mesothelial cells with TGF-β1, which results in morphological and functional destruction of the membrane. In this article, we will outline the mechanism of mesothelial interstitial transformation (MMT), myofibroblast and its origin hypothesis, and their correlation with clock gene and organ fibrosis.