Riots in New Caledonia: Impact of constrained management on peritoneal dialysis patients
DOI:
https://doi.org/10.25796/bdd.v7i3.84663Keywords:
New Caledonia, riots, peritoneal dialysis, peritonitis, death, hospitalizationAbstract
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New Caledonia is a French collectivity—a group of islands and archipelagos—in the South Pacific region. The riots in New Caledonia that began on the evening of May 13, 2024, caused sudden, unannounced disruption to many areas of public life. They led to the healthcare system’s total disorganization, disrupting the care provided to home peritoneal dialysis patients. This article describes the experience of the peritoneal dialysis team at the Association pour le traitement et la prévention de l’insuffisance rénale en Nouvelle-Calédonie (ATIR) in caring for home peritoneal dialysis patients during the first seven weeks of the riots.
These difficulties have led to changes in dialysis management (reuse of single-use devices, non-use of home care self-employed nurses, and reduction in dialysis volume and/or frequency). Our study concerns 35 nonhospitalized peritoneal dialysis patients as of May 12, 2024. The adjustments in management required the care team to be vigilant by getting updates concerning the patients via phone calls. No serious events occurred during the seven-week study period.
Based on this research, the main aspects that are essential to good responsiveness were as follows: 1) a team medical referent with good knowledge of patients and geography, 2) a coordinated team of peritoneal dialysis caregivers accustomed to working together, 3) shared tools accessible online for teleworking people involved in the care of peritoneal dialysis patients, and 4) harmonized training on the usual care pathway for patients and home independent nurses.
References
- Baroux N, Tivollier J-M. Rapport de l’épidémiologie de l’IRC traitée en Nouvelle-Calédonie et Wallis et Futuna, données 2023 n.d. https://resir.nc/wp-content/uploads/2024/04/2023-Epidemiologie-de-lIRCT-en-Nouvelle-Caledonie-et-Wallis-et-Futuna.pdf (accessed July 24, 2024).
- Agence de biomedecine. Le rapport REIN annuel 2021. 2022.
- Sever MS, Luyckx V, Tonelli M, Kazancioglu R, Rodgers D, Gallego D, et al. Disasters and kidney care: pitfalls and solutions. Nat Rev Nephrol 2023;19:672–86. https://doi.org/10.1038/s41581-023-00743-8.
- Sahutoglu T, Danis R, Pembegul I, Ozturk I, Huzmeli C, Tugcu M, et al. Resilience and challenges of peritoneal dialysis survivors in the aftermath of the 2023 Kahramanmaraş earthquake. Ther Apher Dial Off Peer-Rev J Int Soc Apher Jpn Soc Apher Jpn Soc Dial Ther 2024;28:648–56. https://doi.org/10.1111/1744-9987.14130.
- Lohana AC, Gulati A, Kumar J, Shivani F, Kumar D. The Silent Victims: How the Israel-Palestine War Impacts the Management of Chronic Kidney Disease and End-Stage Renal Disease Patients. Cureus 2024;16:e55488. https://doi.org/10.7759/cureus.55488.
- Akbaba B, Yiğit H, Güngör E, Kaynak MO, Kahya HH, Birbilen AZ, et al. After the Türkiye Earthquake: The Experience of a Pediatric Emergency Department in a University Hospital Distant from the Disaster Area. Prehospital Disaster Med 2024:1–8. https://doi.org/10.1017/S1049023X24000347.
- Gorbatkin C, Finkelstein FO, Kazancioglu RT. Peritoneal Dialysis during Active War. Semin Nephrol 2020;40:375–85. https://doi.org/10.1016/j.semnephrol.2020.06.005.
- Vanholder R, De Weggheleire A, Ivanov DD, Luyckx V, Slama S, Sekkarie M, et al. Continuing kidney care in conflicts. Nat Rev Nephrol 2022;18:479–80. https://doi.org/10.1038/s41581-022-00588-7.
- Bhave G, Golper TA. ISPD 2022 recommendations for identification of causative organisms in peritonitis. Perit Dial Int J Int Soc Perit Dial 2022;42:652–3. https://doi.org/10.1177/08968608221126835.
- Torres R, Gonzalez M, Sanhueza M, Segovia E, Alvo M, Passalacqua W, et al. Outbreak of Paecilomyces variotii peritonitis in peritoneal dialysis patients after the 2010 Chilean earthquake. Perit Dial Int J Int Soc Perit Dial 2014;34:322–5. https://doi.org/10.3747/pdi.2013.00157.
- Ozener C, Ozdemir D, Bihorac A. The impact of the earthquake in northwestern Turkey on the continuous ambulatory peritoneal dialysis patients who were living in the earthquake zone. Adv Perit Dial Conf Perit Dial 2000;16:182–5.
- Basnet N, Adhikari S, Kafle Kumar R. MON-069 OVERCOMING SHORTAGE OF PERITONEAL DIALYSIS SOLUTION IN NEPAL. Kidney Int Rep 2019;4:S332. https://doi.org/10.1016/j.ekir.2019.05.858.
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Copyright (c) 2024 Noemie Baroux, Laura Maire, Laure Cadic, Anne-Françoise Lemaitre, Pauline Borceux, Brigitte Glasman
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