A5008319491- Dialysis and Renal Disease Management
- Nutrition and Health in Aging
- Central Venous Catheters and Hemodialysis
- Parathyroid Disorders and Treatments
- Body Composition Measurement Techniques
- Acute Kidney Injury Research
- Blood Pressure and Hypertension Studies
- Muscle and Compartmental Disorders
- Innovations in Medical Education
- Health, Nursing, Elderly Care
- Pharmacological Effects and Toxicity Studies
- Health Systems, Economic Evaluations, Quality of Life
- Iron Metabolism and Disorders
- Public Health in Brazil
- Antimicrobial Resistance in Staphylococcus
- Bacterial biofilms and quorum sensing
- Bacterial Identification and Susceptibility Testing
- Rabies epidemiology and control
- Antifungal resistance and susceptibility
- Neurological and metabolic disorders
- Pancreatitis Pathology and Treatment
- Heart Failure Treatment and Management
- Magnesium in Health and Disease
- Erythropoietin and Anemia Treatment
- Chronic Kidney Disease and Diabetes
Universidade Estadual Paulista (Unesp)
2016-2025
Medecell (Brazil)
2005-2023
Universidade de São Paulo
2009-2015
Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
2004-2015
Universidade Federal de Juiz de Fora
2014
Universidade Federal de Mato Grosso
2003-2013
Hospital São Domingos
2004
Peritoneal dialysis (PD) is still widely used for acute renal failure (ARF) in developing countries despite concerns about its inadequacy. Continuous PD has been evaluated ARF by analyzing the resolution of metabolic abnormality and normalization plasma pH, bicarbonate, potassium.A prospective study was performed on 30 patients who were assigned to high-dose continuous (Kt/V = 0.65 per session) via a flexible catheter (Tenckhoff) automated with cycler. Fluid removal, pH control, protein...
Peritonitis remains as the most frequent cause of peritoneal dialysis (PD) failure, impairing patient's outcome. No large multicenter study has addressed socioeconomic, educational, and geographic issues peritonitis risk factors in countries with a area diverse socioeconomic conditions, such Brazil.Incident PD patients recruited from 114 centers reporting to BRAZPD, observational study, December 2004 through October 2007 were included. Clinical, dialysis-related, demographic, variables...
Peritonitis caused by Staphylococcus aureus is a serious complication of peritoneal dialysis (PD), which associated with poor outcome and high PD failure rates. We reviewed the records 62 S. peritonitis episodes that occurred between 1996 2010 in unit single university hospital evaluated host bacterial factors influencing outcome. incidence was calculated for three subsequent 5-year periods compared using Poisson regression model. The production biofilm, enzymes, toxins evaluated. Oxacillin...
Few studies have evaluated the viability and outcomes between peritoneal dialysis (PD) haemodialysis (HD) in urgent-start renal replacement therapy (RRT). This study aimed to compare infectious mechanical complications related PD HD. Secondary were identify risk factors for mortality dialysis.A quasi-experimental with incident patients receiving HD a Brazilian university hospital, July 2014 December 2017. Subjects included individuals final-stage chronic kidney disease who required immediate...
The definition of adequate dialysis in acute renal failure (ARF) is complex and involves the time referral to dialysis, dose, dialytic method. Nephrologist experience with a specific procedure availability different modalities play an important role these choices. There no consensus literature on best method or ideal dose ARF.Peritoneal (PD) used less ARF patients, being replaced by continuous venovenous therapies. However, it should not be discarded as worthless therapeutic option for...
Insulin resistance is a common risk factor in chronic kidney disease patients contributing to the high cardiovascular burden, even absence of diabetes. Glucose-based peritoneal dialysis (PD) solutions are thought intensify insulin due continuous glucose absorption from cavity. The aim our study was analyse effect substitution for icodextrin on non-diabetic PD multicentric randomized clinical trial. This multicenter, open-label with balanced randomization (1:1) and two parallel-groups....
Abstract Background Peritonitis continues to be the most frequent cause of peritoneal dialysis (PD) failure, with an important impact on patient mortality. Gram-positive cocci such as Staphylococcus epidermidis , other coagulase-negative staphylococci (CoNS), and aureus are etiological agents PD-associated peritonitis worldwide. The objective present study was compare caused by S. CoNS evaluate factors influencing outcome. Methods Records 86 new episodes staphylococcal that occurred between...
In some parts of the world, peritoneal dialysis is widely used for renal replacement therapy (RRT) in acute kidney injury (AKI), despite concerns about its inadequacy. It has been replaced recent years by hemodialysis and, most recently, continuous venovenous therapies. We performed a prospective study to determine effect (CPD), as compared with daily (dHD), on survival among patients AKI.A total 120 tubular necrosis (ATN) were assigned receive CPD or dHD tertiary-care university hospital....
Coagulase-negative Staphylococcus (CNS) is the most frequent cause of peritoneal dialysis (PD)-related peritonitis in many centers. This study aimed to describe clinical and microbiologic characteristics 115 CNS episodes determine factors influencing outcome.This reviewed records that occurred 74 patients between 1994 2011 at a single university center. Peritonitis incidences were calculated for three consecutive 6-year periods (P1, 1994-1999; P2, 2000-2005; P3, 2006-2011) annually. The...
There is recent evidence that aldosterone play a role in the pathogenesis of cardiovascular disease dialysis patients, which leads to opportunity block its actions for benefit these patients. In nondialytic chronic kidney disease, spironolactone was safe and effective reducing left ventricular hypertrophy. However, routine use has been precluded hemodialysis patients due risk hyperkalemia. The aim this study verify safety efficacy regression hypertrophy with undergoing pharmacotherapeutic...
<b><i>Background and Objectives:</i></b> Changes in cerebral blood flow may play an important role cognitive impairment among hemodialysis (HD) patients. Physical activity has a promising delaying general population, but there are only few studies HD to confirm this finding. We aimed evaluate the effects of intradialytic aerobic training on HD. <b><i>Design, Setting, Participants, Measurements:</i></b> This is pilot, controlled, randomized...
This paper presents data on fungal peritonitis (FP) in patients undergoing peritoneal dialysis (PD) at the University Hospital of Botucatu Medical School, São Paulo, Brazil. In a total 422 patients, 30 developed FP, from which medical records and isolates 23 patient cases were studied. All presented abdominal pain, cloudy effluent, needed hospitalization, had catheter removed treated with fluconazole or plus 5-flucitosine; six them died due to FP. Concerning agents, it was observed that...
INTRODUÇÃO: Pacientes com doença renal crônica (DRC) apresentam menor tolerância ao exercício e baixa capacidade funcional, o que os torna, via de regra, sedentários. Outra alteração importante encontrada na DRC é a disfunção cognitiva. O sedentarismo tem sido associado à cognitiva população geral, porém, poucos estudos avaliaram essa associação DRC. OBJETIVOS: Verificar entre nível atividade física função pacientes realizam hemodiálise (HD). MÉTODOS: Foram avaliados 102 HD. Os participantes...
Accumulating evidence suggests an association between body volume overload and inflammation in chronic kidney diseases. The purpose of this study was to evaluate the effect dialysate sodium concentration reduction on extracellular water volume, blood pressure (BP), inflammatory state hemodialysis (HD) patients. In prospective controlled study, adult patients HD for at least 90 days those with C-reactive protein (CRP) levels ≥ 0.7 mg/dL were randomly allocated into two groups: group A, which...
Peritonitis remains the main cause of peritoneal dialysis (PD) technique failure worldwide, despite significant reductions in infection rates observed over past decades. Several studies have described risk factors for peritonitis, and mortality. However, there are scarce data regarding predictors complications during after a peritonitis episode. The aim our study was to analyze peritonitis-related outcome Brazilian Peritoneal Dialysis (BRAZPD) cohort.All adult incident patients recruited...