Publications by authors named "Scott Bryan Campbell"
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.
Aim: Immunosuppressant medication non-adherence can result in allograft rejection and loss. The aim of this study was to investigate the prevalence of non-adherence and barriers to adherence with immunosuppressant medications, in an adult renal transplant cohort.
Methods: Kidney transplant recipients completed a self-report survey consisting of five validated questionnaires (Basel Assessment of Adherence to Immunosuppressive Medications Scale (BAASIS), Beliefs about Medicines Questionnaire, Immunosuppressant Therapy Barrier Scale, Brief-Illness Perception Questionnaire, and Multidimensional Health Locus of Control Scale), and provided sociodemographic information.
Randomized, controlled trial of topical exit-site application of honey (Medihoney) versus mupirocin for the prevention of catheter-associated infections in hemodialysis patients.
J Am Soc Nephrol
May 2005
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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- 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.
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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- * 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.