The Factor associated with the risk of having peritonitis among CAPD patients at Benjalakchalermprakret 80 Pansa Hospital, Srisaket Province

Continouse ambulatory peritoneal dialysis ( CAPD) is a great alternative way to treat patients with chronic kidney disease. The patient’s relatives can care for themselves at home. However CAPD is usually severe infection of the lining of the abdomen is the cause of death in patients with peritoneal dialysis. Benjalakchalermprakret 80 Pansa Hospital starts caring for patients with chronic renal failure since 2007 have 426 cases been chronic renal failure and 246 cases received peritoneal dialysis catheter implantation. The Major causes of patient died and out of the system is an infection of the lining of the abdominal (peritonitis). Peritonitis found a total of 24 casees 169 times from 2007 to 2014. This study to identify the factors that were associated with the occurrence of peritonitis in patients with continuous peritoneal dialysis. This study used a form of Retrospective Case-Control Study by segmenting patient (Case) ,24 cases were recruited from patients with history severe peritonitis comparison group (control) with patient CAPD that does not Peritonitis of the 84 casese. The study found that: 1. Personal fundamentals factor with infections. Patients age 60 and over will increase the risk of infection 1.43 times if a female is a risk factor for infection with 1.74 times and 4.33 times for the status of marriage to minimize the risk of infection. 75% of patients who completed secondary school or diploma to minimize the risk of infection by 45%, 2.Factor of the health behavior with infection found the standard room for change the solution of dialysis ,Wearing a mask cover nose and mouth during change peritoneal dialysis solution ,Wash hand with soap are associated with a statistically significant p-value <0.05 with an infection of the peritoneal dialysis. Who had not been taught but practice for change the solution of peritoneal dialysis had increased risk of peritonitis 3 times, Pets in the house is factor that increase risk of peritonitis 3.43 time, factor of wearing a mask irregular during change peritoneal dialysis solution increase risk with peritonitis 3.78time and importance factor is wash hand with soup irregular during practice dialysis increase risk with peritonitis 6.44time.3 environmental factors are not correlated with peritonitis. However The sinks are not standardized and The solution is not to change at the standard room will increase the risk of infection 1.42 2.06 and 1.36 times compared to a standard environment. 4) Clinical factors, The results showed that the patients were infected with albumin level was lower than 2mg% and Potassium blood level lower than 3meq / ml found more than 83.3 and 95 percent respectively and most common organism is staphylococcus found 21.19 percent Conclusion , Behaviour of person practicing CAPD unmet standard criteria and malnutrition correlated with peritonitis and make recommendations to manage the performance standards consistently including the introduction of  foods that are beneficial to prevent malnutrition.