Evaluation of a manual to guide antibiotic therapy in patients with dialytic chronic kidney disease in medicine graduation

Authors

DOI:

https://doi.org/10.33448/rsd-v12i2.39214

Keywords:

Antibiotic; Chronic kidney disease; Dialysis; Educational technology; Teaching.

Abstract

In the current context, it is known that the prevalence of chronic kidney disease (CKD) is increasing worldwide, which also raises the costs for the adequate treatment of these patients. Given this scenario, acute infectious processes represent an important cause of morbidity and mortality in patients with CKD. The use of digital technology appears as a potential tool to help guide the best antibiotic treatment for the infection at each site would improve the treatment of these individuals. With reviews of updated national and international sources, a mobile manual was developed, easy and practical to use, to help teach about the most appropriate individualized treatment options, taking into account clinical, laboratory and social characteristics of patients with chronic kidney disease. The manual was evaluated by 40 contributors, mean age 24.2 years, female being 56.4%. the material in the manual was considered adequate to be used in consultations for the choice of antibiotics in patients with chronic kidney disease in 92.5% of the answers, being also able to contribute to a good care delivery to these patients, representing 90% of the results. the manual was classified with 89.7% of the answers for a clear, simple and objective presentation, and a percentage of 90% in relation to scientifically adequate for the medical field. It was concluded that the manual is a support for health professionals, which has shown good acceptance, in view of the practicality of use, satisfaction and simple and quick use for teaching students and health professionals.

Author Biographies

Zuila Rafaella Cavalcante de Oliveira, Centro Universitário UNICHRISTUS

Medical undergraduate student at Centro Universitário Unichristus and in the Scientific Initiation program

Jayanne Antonia Ferreira Rabelo, Centro Universitário UNICHRISTUS

Medical undergraduate student at Centro Universitário Unichristus and in the Scientific Initiation program

Rafael Alves Bezerra Santos, Centro Universitário UNICHRISTUS

Medical undergraduate student at Centro Universitário Unichristus and in the Scientific Initiation program

Silvia Mara Rodrigues Costa, Hospital Sao Jose de Doencas Infecciosas

Resident in infectious diseases at Hospital São José, responsible for contributions in viral hepatitis

Lia Cordeiro Bastos Aguiar, Centro Universitario Unichristus

Professor of the medical course, trained in pediatrics and specialization in nephrology, and working with patients on hemodialysis

References

Acquier, M., De Précigout, V., Delmas, Y., Dubois, V., M'Zali, F., Zabala, A., De-La-Faille, R., Rubin, S., Cazanave, C., Puges, M., Combe, C., & Kaminski, H. (2022). Diagnostic et prise en charge des bactériémies liées au cathéter d’hémodialyse : 10 ans après les dernières recommandations [Diagnosis and treatment of catheter-related bloodstream infection in hemodialysis: 10 years later]. Nephrologie & therapeutique, 18(2), 80–88.

Https://doi.org/10.1016/j.nephro.2021.08.010

Allon M. (2004). Dialysis catheter-related bacteremia: Treatment and prophylaxis. Am J Kidney Dis. 44:779–791.

Allon M. (2009). Treatment guidelines for dialysis catheter-related bacteremia: an update. Am J Kidney Dis. Jul;54(1):13-7. Doi: 10.1053/j.ajkd.2009.04.006. PMID: 19559337; PMCID: PMC4082022.

Arhuidese, I. J., Wanogho, J., Faateh, M., et al. (2020). Hemodialysis and peritoneal dialysis access related outcomes in the pediatric and adolescent population - pubmed. Journal of pediatric surgery, 55(7).

Boulton, A. J. M., Armstrong, D. G., Kirsner, R. S., et al. (2018). Diagnosis and Management of Diabetic Foot Complications. Arlington (VA): American Diabetes Association. Oct. https://www.ncbi.nlm.nih.gov/books/NBK538977/ 10.2337/db20182-1

Brasil. (2022). Instituto Oncoguia. Cateteres Venosos Centrais. http://www.oncoguia.org.br/conteudo/cateteres-venosos-centrais/246/593/

Bream, P. R. Jr. (2016). Update on insertion andc omplications of Central venous catheters for Hemodialysis. Seminars in interventional radiology, 33(1), 31–8, 2016.

Bruzzese, E., Giannattasio, A., & Guarino, A. (2018). Antibiotic treatment of acute gastroenteritis in children. F1000Research, 7, 193. https://doi.org/10.12688/f1000research.12328.1

Bustos, C., Aguinaga, A., Carmona-Torre, F., et al. (2014). Long-term catheterization: Current approaches in the diagnosis and treatment of port-related infections. Infect Drug Resist. 7:25-35.

Carey, W. A., Martz, K. L., & Warady, B. A. (2015). Outcome of patients initiating chronic peritoneal Dialysis during the first year of life. Pediatrics. 136(3):e615–22.

Chanchlani, R., Young, C., Farooq, A., et al. (2021). Evolutionandchange in paradigmofhemodialysis in children: a systematicreview - pubmed. Pediatric nephrology (Berlin, Germany), 36(5).

Cho, H., & Cho, H. (2020). Pediatric hemodialysis. Childhood kidney diseases, 24(2), 69–74.

Clebak, K. T., & Malone, M. A. Skin infections. Primary Care: Clinics in Office Practice, 45(3), 433-454, 2018.

Crabtree, J. H., & Chow, K. (2017). Peritoneal dialysis catheter insertion - pubmed. Seminars in nephrology, 37(1).

Crowe, K., White, B., Khanna, N., Cooke, B., Kingsmore, D. B., Jackson, A., Stevenson, K. S., Kasthuri, R., & Thomson, P. C. (2021). Epidemiology of bloodstream infections in a Scottish haemodialysis population with focus on vascular access methods. The Journal of hospital infection, 110, 37–44. Https://doi.org/10.1016/j.jhin.2021.01.008

Echer, I. (2005). Elaboração de manuais para orientação no cuidado em saúde. Rev Latino-am, Ribeirão Preto, 13(5), 754-757, set./out. 2005.

Erika M. C., & D’Agata. (2018). Addressing the Problem of Multidrug-Resistant Organisms in Dialysis. Clin J Am Soc Nephrol 13: 666–668.

Everett, E., & Mathioudakis, N. (2018). Update on management of diabetic foot ulcers. Ann N Y Acad Sci. 2018 Jan;1411(1):153-165. 10.1111/nyas.13569. PMID: 29377202; PMCID: PMC5793889.

Fernandez-Hidalgo, N., Almirante, B., Calleja, R., et al. (2006). Antibiotic-lock therapy for long-term intravascular catheter-related bacteremia: Results of an open, non-comparative study. J Antimicrob Chemother.; 57:1172–1180

Freitas, A. A. S., & Cabral, I. E. (2008). O cuidado à pessoa traqueostomizada. Esc. Anna Nery Rev. Enferm., 12(1), 84-89, mar. 2008.

Fukui, S., Uehara, Y., Fujibayashi, K., et al (2016). Bacteraemia predictive factors among general medical inpatients: a retrospective cross-sectional survey in a Japanese university hospital BMJ Open; 6:e010527. 10.1136/bmjopen-2015-010527

Gautam, D., & Sahney, R. (2020). Reprocessing and reuse of single-use medical devices and the role of interprofessional collaboration: A literature review. Current Medicine Research and Practice, 10(2), 70-74.

Guarino, A., Ashkenazi, S., Gendrel, D., Lo Vecchio, A., Shamir, R., & Szajewska, H. (2014). European Society for Pediatric Gastroenterology, Hepatology, and Nutrition/European Society for Pediatric Infectious Diseases Evidence-Based Guidelines for the Management of Acute Gastroenteritis in Children in Europe: Update 2014. Journal of Pediatric Gastroenterology and Nutrition: July - Volume 59 - Issue 1 - p 132-152.

Imani, P. D., Carpenter, J. L., Bell, C. S., et al. (2018). Peritoneal dialysis catheter outcomes in infants initiating peritoneal dialysis for end-stage renal disease. BMC nephrology, 19(1), 231.

Jefferies, M., Rauff, B., Rashid, H., Lam, T., & Rafiq, S. (2018). Update on global epidemiology of viral hepatitis and preventive strategies. World journal of clinical cases, 6(13), 589–599. https://doi.org/10.12998/wjcc.v6.i13.589

Justo, J. A., & Bookstaver, P. B. (2014). Antibiotic lock therapy: review of technique and logistical challenges. Infect Drug Resist. 7: 343-363.

Katyal, A., Mahale, A., & Khanna, R. (2002). Antibiotic prophylaxis before peritoneal dialysis catheter insertion. Advances in peritoneal dialysis. Conference on Peritoneal Dialysis, 18, 112–115.

Kortum, P. T., & Bangor, A. (2013). Usability Ratings for every day products measured with the System usability scale. International journal of human–Computer Interaction, 29(2), 67-76, 2013/01/01.

Krishnasami, Z., Carlton, D., Bimbo, L., et al. (2002). Management of hemodialysis catheter related bacteremia with an adjunctive antibiotic lock solution. Kidney Int. 2002; 61:1136–1142.

Kwan, A. C. F., & Beahm, N. P. Fosfomycin for bacterial prostatitis: a review. International journal of antimicrobial agents, 56(4), 106106, 2020.

Lanini, S., Ustianowski, A., Pisapia, R., Zumla, A., & Ippolito, G. (2019). Viral Hepatitis: Etiology, Epidemiology, Transmission, Diagnostics, Treatment, and Prevention. Infectious disease clinics of North America, 33(4), 1045–1062. https://doi.org/10.1016/j.idc.2019.08.004.

Laplant, M. B., Saltzman, D. A., Segura, B. J., et al. (2018). Peritoneal dialysis catheter placement, outcomes and complications - pubmed. Pediatric surgery international, 34(11).

Mandell, L. A., Wunderink, R. G., Anzueto, A., et al. (2007). Infectious Diseases Society of America/American Thoracic Society consensus guidelines on the management of community-acquired pneumonia in adults. Clin Infect Dis;44:S2–27.

Metersky, M. L., Ma, A., Houck, P. M., et al. (2007). Antibiotics for bacteremic pneumonia: improved outcomes with macrolides but not fluoroquinolones. Chest 2007;131: 466–73.

Ferstl, P. G., Filmann, N., Heilgenthal, E. M., Schnitzbauer, A. A., Bechstein, W. O., Kempf, V. A. J., Villinger, D., Schultze, T. G., Hogardt, M., Stephan, C., Mutlak, H., Weiler, N., Mücke, M. M., Trebicka, J., Zeuzem, S., Waidmann, O., & Welker, M. W. (2021). Colonization with multidrug-resistant organisms is associated with in increased mortality in liver transplant candidates. PloS one, 16(1), e0245091. https://doi.org/10.1371/journal.pone.0245091

Nogueira, P. C. K., Feltran, L. S., Camargo, M. F., Leão, E. R., Benninghoven, J. R. C. S., Gonçalves, N. Z., Pereira, L. A., & Sesso, R. C. Estimated prevalence of childhood end-stage renal disease in the state of São Paulo (2011). Rev Assoc Med Bras; 57(4):436-441

Rosenfeld, R. M., Piccirillo, J. F., Chandrasekhar, S. S., Brook, I., Ashok Kumar, K., Kramper, M., Orlandi, R. R., Palmer, J. N., Patel, Z. M., Peters, A., Walsh, S. A., & Corrigan, M. D. (2015). Clinical practice guideline (update): adult sinusitis. Otolaryngology--head and neck surgery: official journal of American Academy of Otolaryngology-Head and Neck Surgery, 152(2 Suppl), S1–S39. https://doi.org/10.1177/0194599815572097

Shamim, K. A., Kashif, K. M., Zubair, M., et al. (2022). Hemodialysis Catheter-Related Infections: Incidence in Temporary Catheters locked with Vancomycin and Heparin vs. Heparin-only. Journal of Pharmaceutical Research International.; 34(4B): 24-31.

Shmuely, H., Pitlik, S., Drucker, M., Samra, Z., Konisberger, H., & Leibovici, L. (2000). Prediction of mortality in patients with bacteremia: the importance of pre-existing renal insufficiency. Renal failure, 22(1), 99–108. https://doi.org/10.1081/jdi-100100856

Stevens, D. L., Bisno, A. L., Chambers, H. F., Dellinger, E. P., Goldstein, E.J.C., Gorbach, S. L., Hirschmann, J. V., Kaplan, S. L., Montoya, J. G., & Wade, J. C. (2014). Practice Guidelines for the Diagnosis and Management of Skin and Soft Tissue Infections: 2014 Update by the Infectious Diseases Society of America, Clinical Infectious Diseases, Volume 59, Issue 2, 15 July, Pages e10–e52

Su, Z. T., Zenilman, J. M., Sfanos, K. S., et al. (2020). Management of Chronic Bacterial Prostatitis. Curr Urol Rep 21, 29.

Published

01/02/2023

How to Cite

OLIVEIRA, Z. R. C. de .; RABELO, J. A. F.; SANTOS, R. A. B. .; COSTA, S. M. R. .; AGUIAR, L. C. B. .; MEDEIROS, M. S. . Evaluation of a manual to guide antibiotic therapy in patients with dialytic chronic kidney disease in medicine graduation. Research, Society and Development, [S. l.], v. 12, n. 2, p. e17312239214, 2023. DOI: 10.33448/rsd-v12i2.39214. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/39214. Acesso em: 23 apr. 2024.

Issue

Section

Teaching and Education Sciences