Publications by authors named "Carmel Mary Hawley"

Background: There is an increase in elderly patients receiving kidney transplant internationally. This study describes elderly kidney transplant recipient outcomes in Australia and New Zealand.

Methods: The study included all adult first kidney transplant recipients in Australia and New Zealand from 2000 to 2015.

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Background: The HONEYPOT study is a multicenter, open-label, blinded-outcome, randomized controlled trial designed to determine whether, compared with standard topical application of mupirocin for nasal staphylococcal carriage, exit-site application of antibacterial honey reduces the rate of catheter-associated infections in peritoneal dialysis patients.

Objective: To make public the pre-specified statistical analysis principles to be adhered to and the procedures to be performed by statisticians who will analyze the data for the HONEYPOT trial.

Methods: Statisticians and clinical investigators who were blinded to treatment allocation and treatment-related study results and who will remain blinded until the central database is locked for final data extraction and analysis determined the statistical methods and procedures to be used for analysis and wrote the statistical analysis plan.

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Staphylococcus aureus peritonitis is a serious complication of peritoneal dialysis (PD). Since reports of the course and treatment of S. aureus peritonitis have generally been limited to small, single-center studies, the aim of the current investigation was to examine the frequency, predictors, treatment, and clinical outcomes of this condition in all 4675 patients receiving PD in Australia between 1 October 2003 and 31 December 2006.

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Background: The main hypothesis of this study is that Oxpentifylline administration will effectively treat erythropoietin- or darbepoietin-resistant anaemia in chronic kidney disease patients.

Methods/design: Inclusion criteria are adult patients with stage 4 or 5 chronic kidney disease (including dialysis patients) with significant anaemia (haemoglobin or= 200 IU/kg/week) or darbepoetin (>or= 1 microg/kg/week). Patients will be randomized 1:1 to receive either placebo (1 tablet daily) or oxpentifylline (400 mg daily) per os for a period of 4 months.

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The clinical usefulness of hemodialysis catheters is limited by increased infectious morbidity and mortality. Topical antiseptic agents, such as mupirocin, are effective at reducing this risk but have been reported to select for antibiotic-resistant strains. The aim of the present study was to determine the efficacy and the safety of exit-site application of a standardized antibacterial honey versus mupirocin in preventing catheter-associated infections.

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Article Synopsis
  • Higher white blood cell counts (WCC) in patients starting peritoneal dialysis (PD) are linked to increased risks of death and cardiovascular issues, based on a study of 323 patients.
  • The study found that patients in the highest WCC quartile had significantly worse survival rates, with adjusted hazard ratios indicating more than double the risk of death from all causes and nearly four times the risk of cardiac death.
  • Conclusions suggest that new PD patients with elevated WCC should be monitored more closely and managed for cardiovascular risk factors to improve their outcomes.
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Background: Central venous catheters are frequently needed for the provision of haemodialysis, but their clinical usefulness is severely limited by infectious complications. The risk of such infections can be reduced by topical application of mupirocin to the exit sites of non-cuffed catheters or by the use of tunnelled, cuffed catheters. Whether mupirocin offers any additional protection against infection in patients with tunnelled, cuffed haemodialysis catheters has not been studied.

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Article Synopsis
  • * In a study with 50 PD patients, those with CRP levels above 6 mg/L showed signs of increased cardiovascular risk, especially regarding myocardial infarction.
  • * While elevated CRP predicted future heart issues, it did not significantly correlate with overall mortality, suggesting the need for closer monitoring of cardiovascular risks in PD patients with high CRP levels.
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