Article Type: Correction notice
Pub Date: 07/01/2010
Publication: Name: Renal Society of Australasia Journal Publisher: Renal Society of Australasia Audience: Academic Format: Magazine/Journal Subject: Health Copyright: COPYRIGHT 2010 Renal Society of Australasia ISSN: 1832-3804
Issue: Date: July, 2010 Source Volume: 6 Source Issue: 2
Accession Number: 264921874
Full Text: The chief editor and publisher would like to draw the attention to the following errors in the Renal Society of Australasia Journal Volume 6 Supplement 1.

The corrected abstracts are:

Ren Soc Aust J 6 S1. Page S16 Abstract 21

VRE peritonitis: A dreaded fear

Ms Amy Obad, Southern Health, Victoria

Colonisation of dialysis patients with Vancomycin Resistant Enterococci (VRE) has been an enormous issue within Renal Units throughout Australia and New Zealand. The reported incidence of VRE colonised patients has steadily been increasing worldwide and subsequently, the incidence of infections in dialysis patients with these highly resistant organisms are also on the rise.

Peritonitis in peritoneal dialysis (PD) patients is a major concern for Peritoneal Dialysis Units and the clinical implications when the organisms are multi-resistant are severe. Despite collaborative efforts between the Renal Unit and the Infection Control Department of our hospital to monitor and control VRE colonisation amongst dialysis patients, our Unit has recently encountered our first two episodes of VRE peritonitis. This is a case study of two PD patients who have developed VRE peritonitis and how they were managed by our Renal Unit. Infection rates of VRE peritonitis will increase over time, and PD Units throughout Australia need to be prepared.

Ren Soc Aust J 6 S1. Page S38 Abstract 63

Working with non-English speaking people with kidney disease, diabetes and cardiovascular disease.

Dr Allison Williams, University of Melbourne Prof Elizabeth Manias, University of Melbourne

The effectiveness of medications and long-term health outcomes depend on the person's self-management of their prescribed medications. Multiple prescribers, comorbidities, frequent changes to medications, higher medication doses and coming from culturally and linguistically diverse (CALD) backgrounds increases the risk of medication mismanagement.

This paper presents preliminary results and key difficulties in conducting a randomised controlled trial designed to improve medicine self-management in older Greek, Italian and Vietnamese speaking people with kidney disease, diabetes and cardiovascular disease. The intervention was translated into the participant's language and interpreters were employed for enrolment, delivery of the intervention and data collection. This study was funded by the Nurses Board of Victoria and a Renal Society of Australasia/Amgen 2009 Career Mobility grant. Participant recruitment and attrition were significant problems. Out of a possible pool of 243 patients from renal outpatient clinics of two metropolitan hospitals, 78 people verbally agreed to participate and 45 signed informed consent. 38 participants remain in the study at this time. The study revealed that fourteen participants did not know they had kidney disease and two participants did not know they had diabetes. A lack of knowledge about what medicines were for, medicine side effects, and pill burden were evident. Organising interpreter services, intervention delivery and data collection was problematic. In particular, continuity of interpreters was difficult to maintain.

This work has highlighted communication gaps between health professionals and consumers affecting medicine self- management, and difficulties with conducting research into CALD groups using interpreting services. Strategies to overcome these difficulties are discussed.

Ren Soc Aust J 6 S1. Page S47 Abstract P6

Six Years Experience with Button-hole Cannulation

Ms Ann Tam Sydney Dialysis Centre

In 2004 our unit started to teach patients the buttonhole cannulation technique (BHCT) for home haemodialysis (HD). This technique has been used increasingly, particularly in the home haemodialysis population. As we promote longer hours and more frequent dialysis (ie. alternate day and nocturnal), this technique has the following benefits: decreases wear and tear on the fistula; reduces the risk of vessel extravasation; decreases bleeding time post dialysis; and minimises blood loss through accidental needle dislodgement. It is especially favourable in patients with a short fistula and therefore limited cannulation sites. This technique can also be used to salvage the aneurysmal fistula.

Over the past six years we have been successful in using this procedure, however we have encountered some challenges especially with skin reactions and cannulation site infection. Currently we are trying different skin preparation products and modifying skin cleansing procedure to address these concerns. We have also had some success with using the new product 'BioHoleTM Buttonhole Device" (NIPRO) which can fast track the process of tunnel development.

In conclusion BHCT is a useful tool for patients on home HD who experience high anxiety in relation to self- cannulation. However, this technique is not a substitute for good vascular access. This presentation will provide an overview of our experience with the BHCT and will highlight the strategies we have developed to facilitate successful use of this technique.

The Chief Editor and Publisher apologise for the above errors.
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