FUNGAL PERITONITIS IN CHILDREN TREATED WITH PERITONEAL-DIALYSIS AND GASTROSTOMY FEEDING

被引：30

作者：

MURUGASU, B ^{[1
]}

CONLEY, SB ^{[1
]}

LEMIRE, JM ^{[1
]}

PORTMAN, RJ ^{[1
]}

机构：

[1] UNIV TEXAS,SCH MED,DEPT PEDIAT,6431 FANNIN,HOUSTON,TX 77030

来源：

PEDIATRIC NEPHROLOGY | 1991年 / 5卷 / 05期

关键词：

FUNGAL PERITONITIS; GASTROSTOMY; PERITONEAL DIALYSIS;

D O I：

10.1007/BF00856656

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Feeding gastrostomies were placed in three children treated with chronic peritoneal dialysis at our center because of persistent, severe malnutrition and inadequate growth. Two had frequent fungal infections of the gastrostomy site and all three developed Candida peritonitis which occurred at 1 month, 2 months and 2 years after insertion of gastrostomy. Complications included multiple intra-abdominal adhesions, abscess formation and loss of peritoneal function necessitating transfer to hemodialysis. The presence of a gastrostomy may predispose to the development of fungal peritonitis with its high morbidity and should be avoided in children on chronic peritoneal dialysis.

引用

页码：620 / 621

页数：2

共 12 条

[1]

Oh S.H., Conley S.B., Rose G.M., Rosenblum M., Kohl S., Pickering L.K., Fungal peritonitis in children undergoing peritoneal dialysis, Pediatr Infect Dis J, 4, pp. 62-66, (1985)

[2]

Forwell M.A., Smith W.G.J., Tsakiris D., Briggs J.D., Junor B.J.R., Morbidity of fungal peritonitis, Contrib Nephrol, 57, pp. 110-113, (1987)

[3]

Eisenberg E.S., Leviton I., Soeiro R., Fungal peritonitis in patients receiving peritoneal dialysis: experience with 11 patients and review of the literature, Rev Infect Dis, 8, pp. 309-321, (1986)

[4]

Cheng I.K.P., Fang G.X., Chan T.M., Chan P.C.K., Chan M.K., Fungal peritonitis complicating peritoneal dialysis: report of 27 cases and review of treatment, Q J Med, 71, pp. 407-416, (1989)

[5]

Tapson J.S., Mansy H., Freeman R., Wilkinson R., The high morbidity of CAPD fungal peritonitis — description of 10 cases and review of treatment strategies, Q J Med, 61, pp. 1047-1953, (1986)

[6]

Laws H.L., Palmer M.D., Donald J.M., Bryant J.W., Boudreaux A.M., Wheeler A.S., Effects of preoperative medications on gastric pH, volume and flora, Ann Surg, 203, pp. 615-619, (1986)

[7]

Kraeft H., Roos R., ozik E., Influence of gastrostomy on the colonization of the stomach: impact on neonatal septicaemia, Infection, 13, pp. 211-215, (1985)

[8]

Conley S.B., Supplemental (NG) feedings of infants undergoing continuous peritoneal dialysis, Chronic ambulatory peritoneal dialysis (CAPD) and chronic cycling peritoneal dialysis (CCPD) in children, pp. 263-269, (1987)

[9]

Gauderer M.W.L., Stellato T.A., Gastrostomies: evolution, techniques, indications, and complications, Curr Probl Surg, 23, pp. 661-719, (1986)

[10]

Foutch P.G., Talbert G.A., Gaines J.A., Sanowski R.A., The gastrostomy button: a prospective assessment of safety, success, and spectrum of use, Gastrointest Endosc, 35, pp. 41-44, (1989)

← 1 2 →