Pichet Lorvinitnun
A5039274145- Dialysis and Renal Disease Management
- Health Systems, Economic Evaluations, Quality of Life
- Central Venous Catheters and Hemodialysis
- Antifungal resistance and susceptibility
- Sepsis Diagnosis and Treatment
- Therapeutic Uses of Natural Elements
- Global Health Care Issues
- Bacterial Identification and Susceptibility Testing
- Healthcare Systems and Reforms
- Healthcare cost, quality, practices
- Kidney Stones and Urolithiasis Treatments
- Nosocomial Infections in ICU
- Palliative Care and End-of-Life Issues
- Nutrition and Health in Aging
- Global Maternal and Child Health
- Religion, Society, and Development
- Frailty in Older Adults
- Parasitic Diseases Research and Treatment
- Iron Metabolism and Disorders
- Infectious Diseases and Tuberculosis
- Tuberculosis Research and Epidemiology
- Religion, Spirituality, and Psychology
- Antibiotic Use and Resistance
- Gastrointestinal motility and disorders
- Blood Pressure and Hypertension Studies
Sappasithiprasong Hospital
2012-2023
Evidence-based cinical practice guidelines improve delivery of uniform care to patients with and at risk developing kidney disease, thereby reducing disease burden improving outcomes. These are not well-integrated into systems in most low- middle-income countries (LMICs). The KDIGO Controversies Conference on Implementation Strategies LMIC reviewed the current state knowledge order define a road map implementation guideline-based LMICs. An international group multidisciplinary experts...
Background The Surviving Sepsis Campaign (SSC) guidelines describe best practice for the management of severe sepsis and septic shock in developed countries, but most deaths from occur where healthcare is not sufficiently resourced to implement them. Our objective was define feasibility basis modified a resource-restricted setting. Methods Findings We undertook detailed assessment prospective cohort patients with caused by single pathogen 1,100-bed hospital lower-middle income Thailand....
Fungal peritonitis is an uncommon but serious complication of peritoneal dialysis (PD) due to the fact that routine culture recovered etiologic agents are time consuming and KOH staining has very low sensitivity. Peritoneal (1→3)-β-D-glucan (BG) or galactomannan (GM), both fungal cell wall components, candidate biomarkers peritonitis. Hence, a comparative cross-sectional analysis fluid (PDF) BG (Fungitell, Cape Cod, MA, USA) GM (Platelia Aspergillus Ag kits, Bio-rad, France) from all PD...
Introduction We sought to evaluate the predictors and outcomes of mold peritonitis in patients with peritoneal dialysis (PD). Methods This cohort study included PD from MycoPDICS database who had fungal between July 2015-June 2020. Patient were analyzed by Kaplan Meier curves Log-rank test. Multivariable Cox proportional hazards model regression was used estimating associations types patients’ outcomes. Results The 304 episodes (yeasts n = 129, hyaline molds 122, non-hyaline 44, mixed fungi...
This describes variations in facility peritoneal dialysis (PD) effluent (PDE) culture techniques and local microbiology laboratory practices, competencies, quality assurance associated with peritonitis, a specific emphasis on factors culture-negative peritonitis (CNP).Peritonitis data were prospectively collected from 22 Thai PD centers between May 2016 October 2017 as part of the Peritoneal Dialysis Outcomes Practice Patterns Study. The first cloudy bags participants suspected sent to...
Despite the implementation of a 'Peritoneal Dialysis (PD) First' policy in Thailand since 2008, nationwide PD practices and patients' outcomes have rarely been reported.As part multinational Outcomes Practice Patterns Study (PDOPPS), patients from 22 centres different geographic regions, sizes affiliations, representing facilities, enrolled starting May 2016. Demographic, clinical laboratory data were prospectively collected analysed.The pilot phases demonstrated excellent concordance...
Mycobacterium tuberculosis (TB) peritonitis in patients receiving peritoneal dialysis (PD) carries poor outcomes with reported mortality rates ranging from 15% to 58%.1-4 Although the 2022 International Society for PD (ISPD) Guidelines recommend anti-tuberculous therapy without mandatory catheter removal as primary treatment of caused by M. (2C), many practices still advocate and claim favorable this approach.1,2 Unfortunately, diagnosing initiating early tuberculous pose challenges due...
♦Aseptic, sheet-like foreign bodies observed inside Tenckhoff (TK) catheter lumens (referred to as "black particles") are, on gross morphology, hardly distinguishable from fungal colonization because these contaminants adhere tightly the catheter. Detection of cell wall components using (1→3)-β-d-glucan (BG) and galactomannan index (GMI) might be an alternative method for differentiating particles. ♦Foreign particles retrieved TK catheters in 19 peritoneal dialysis patients were examined...
Fungal peritonitis, a relatively uncommon but serious complication of peritoneal dialysis (PD), is associated with high rates technique failure (40%) and mortality (15%–50%).1Miles R. Hawley C.M. McDonald S.P. et al.Predictors outcomes fungal peritonitis in patients.Kidney Int. 2009; 76: 622-628Abstract Full Text PDF PubMed Scopus (123) Google Scholar,2Matuszkiewicz-Rowinska J. Update on its treatment.Perit Dial 29: S161-S165Crossref Scholar Therefore, immediate PD catheter removal followed...
Spiritual well-being (SWB), an individual's understanding of the meaning and purpose life, may help patients with chronic or terminal illnesses cope their diseases. This study aimed to assess SWB in on peritoneal dialysis (PD), as well its relationship patient characteristics patient-reported outcomes (PRO).The data were obtained from questionnaires that formed part PD Outcomes Practice Patterns Study (PDOPPS). Measures used this scores derived WHO quality spirituality, religiousness...
Universal health coverage can decrease the magnitude of individual patient's financial burden chronic kidney disease (CKD), but residual hardship from patients' perspective has not been well-studied in low and middle-income countries (LMICs). This study aimed to evaluate patients with CKD stage 3 dialysis "PD First Policy" under Coverage Scheme (UCS) Thailand.This multicenter nationwide cross-sectional Thailand enrolled 1,224 pre-dialysis CKD, hemodialysis (HD), peritoneal (PD) covered by...
Patient-reported outcome measures (PROM) has gained international recognition as important predictors of clinical outcomes in peritoneal dialysis (PD). We sought to understand the associations between patient-reported appetite and outcomes.In Thailand Peritoneal Dialysis Outcomes Practice Patterns Study (PDOPPS), 690 848 randomly selected PD patients from 22 facilities reported their by using short form (three items) Appetite Diet Assessment Tool (ADAT), 2016 2018. In this questionnaire,...
Patient-reported outcome measures (PROMs) are widely recognized as valuable predictors of clinical outcomes in peritoneal dialysis (PD). Our study aimed to explore the connections between patient-reported constipation and outcomes.We assessed patients across 22 facilities participating Thailand Peritoneal Dialysis Outcomes Practice Patterns Study (PDOPPS) from 2014 2017. Constipation diagnosis utilized objective assessment tools such Bristol stool form scale (BSFS) a self-reported...
IntroductionThe potential value of serum galactomannan index (GMI) in monitoring the treatment response patients with fungal peritonitis receiving peritoneal dialysis (PD) was assessed present study.MethodsThe study included all Thailand PD-related infectious complications surveillance (MycoPDICS) DATA participants who had timely PD catheter removal and availability both baseline ≥2 subsequent GMI measurements after starting antifungal therapy (if available). Serum by direct double-sandwich...
Background:The Surviving Sepsis Campaign (SSC) guidelines describe best practice for the management of severe sepsis and septic shock in developed countries, but most deaths from occur where healthcare is not sufficiently resourced to implement them.Our objective was define feasibility basis modified a resource-restricted setting. Methods Findings:We undertook detailed assessment prospective cohort patients with caused by single pathogen 1,100-bed hospital lower-middle income Thailand.We...
Abstract Aim To assess whether the peritoneal dialysis (PD) centres included in Peritoneal Dialysis Outcomes and Practise Patterns Study (PDOPPS) Thailand are representative of other PD country, based on 8 key performance indicators (KPIs 1–8). Methods A retrospective analysis was conducted comparing PD‐related clinical outcomes between PDOPPS (the group) those not non‐PDOPPS from January 2018 to December 2019. Logistic regression used identify predictors associated with achieving target...