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Introduction of Y Set in PD

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Italian investigators led by Umberto Buoncristiani were unable to reproduce lower peritonitis rates in their PD patients despite adopting the Toronto Western Hospital CAPD protocol. They subsequently observed that with the use of a “Y” set and “flush before fill” technique, the possibility of contamination occurring during the spiking of bags could be significantly reduced [15]. As a result of this technique, they noticed a significant reduction in peritonitis rates. Although it took several years for investigators to adopt the “Y-set,” it has proven to be the single most significant factor in preventing peritonitis in CAPD patients (from 1 every 3–4 patient-months to 1 every 30–35 patient-months) [15].

Remote Patient Management in Peritoneal Dialysis

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