Cochrane Summaries

Trusted evidence. Informed decisions. Better health.

Y-set and double bag systems offer the most protection against peritonitis during continuous ambulatory peritoneal dialysis (CAPD)

Daly C, Cody JD, Khan I, Rabindranath KS, Vale L, Wallace SA
Published Online: 
13 August 2014

People with advanced kidney disease may be treated with CAPD where a catheter is permanently inserted into the peritoneum (lining around abdominal contents) through the abdominal wall and sterile fluid is drained in and out a few times each day. The most common serious complication is infection of the peritoneum - peritonitis. This may be caused by bacteria accidentally being transferred from the catheter. This review of trials compared three types of connecting systems (used to connect the bags and the catheter) and found the Y-set and double bag exchange systems are the most effective in preventing peritonitis.

This record should be cited as: 
Daly C, Cody JD, Khan I, Rabindranath KS, Vale L, Wallace SA. Double bag or Y-set versus standard transfer systems for continuous ambulatory peritoneal dialysis in end-stage kidney disease. Cochrane Database of Systematic Reviews 2014, Issue 8. Art. No.: CD003078. DOI: 10.1002/14651858.CD003078.pub2
Assessed as up to date: 
22 October 2013