{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T12:01:59Z","timestamp":1791892919276,"version":"4.3.4"},"reference-count":45,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T00:00:00Z","timestamp":1791590400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Perit Dial Int"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Effective infection control practices are recommended to prevent peritoneal dialysis-associated peritonitis (PD peritonitis). Effects of the coronavirus 2019 (COVID-19) pandemic and preventive measures on PD peritonitis outcomes are unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Using the Australia and New Zealand Dialysis and Transplant (ANZDATA) Registry data, we assessed PD peritonitis rates and outcomes in Australia before and after COVID-19 pandemic onset, defined using the World Health Organisation pandemic date (11\/03\/2020), between 01\/01\/2015 and 31\/12\/2022. PD peritonitis rates, trends (using interrupted time series and joinpoint regression analysis) and outcomes were analysed in prevalent patients on PD. Incident and prevalent patient characteristics commencing PD were analysed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In prevalent PD patients (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200911,499), peritonitis rates were lower post-COVID-19 (0.30 episodes per patient-year, 95% confidence interval [CI]: 0.29\u20130.31) than in the pre-COVID-19 period (0.35, 95% CI: 0.34\u20130.36,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001). PD peritonitis rates were declining prior to COVID-19 (incident rate ratio [IRR] per half-year\u2009=\u20090.97, 95% CI 0.96\u20130.98,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001), with a relative increase after COVID-19 onset (IRR\u2009=\u20091.05; 95% CI: 1.00\u20131.09,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.049).\n                    <\/jats:p>\n                    <jats:p>There were increases in odds of PD peritonitis relapse (adjusted odds ratio (aOR): 1.41, 95% CI: 1.14\u20131.76) and recurrence (aOR: 1.45, 95% CI: 1.13\u20131.86) post-COVID-19.<\/jats:p>\n                    <jats:p>A total of 8999 incident patients started PD during the study period, 5763 pre-COVID-19 and 3236 post-COVID-19. Patient characteristics were similar between groups, other than rates of smoking, cerebrovascular disease and PD modality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>PD peritonitis rates have been declining in Australia, with a modest relative increase in peritonitis rates post-COVID-19 onset. Odds of PD peritonitis relapse and recurrence were higher post-COVID-19, highlighting the need for further research regarding PD practices post-pandemic.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08968608261469965","type":"journal-article","created":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T07:25:36Z","timestamp":1791617136000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Temporal association of peritoneal dialysis-associated peritonitis rates and outcomes with COVID-19 pandemic onset in Australia: A registry analysis"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0867-7986","authenticated-orcid":false,"given":"Arunima","family":"Jain","sequence":"first","affiliation":[{"name":"Department of Nephrology, Prince of Wales Hospital, Sydney, Australia"},{"name":"Department of Obstetric Medicine, Royal Hospital for Women, Sydney, 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Australia"},{"name":"Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3294-4087","authenticated-orcid":false,"given":"Sradha","family":"Kotwal","sequence":"additional","affiliation":[{"name":"Department of Nephrology, Prince of Wales Hospital, Sydney, Australia"},{"name":"School of Clinical Medicine, Faculty of Medicine &amp; Health, University of New South Wales, Sydney, Australia"},{"name":"Renal and Metabolic Program, The George Institute for Global Health, Sydney, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5491-3460","authenticated-orcid":false,"given":"David W","family":"Johnson","sequence":"additional","affiliation":[{"name":"Australia and New Zealand Dialysis and Transplant Registry (ANZDATA), Peritoneal Dialysis Working Group, Adelaide, Australia"},{"name":"Department of 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