PERITONITIS IN CONTINUOUS AMBULATORY PERITONEAL-DIALYSIS - ANALYSIS OF AN 8-YEAR EXPERIENCE

被引:52
作者
PROWANT, B
NOLPH, K
RYAN, L
TWARDOWSKI, Z
KHANNA, R
机构
[1] UNIV MISSOURI, VET ADM HOSP,HLTH SCI CTR,DALTON RES CTR,DEPT MED, DIV NEPHROL, COLUMBIA, MO 65212 USA
[2] DIALYSIS CLIN INC, COLUMBIA, MO USA
关键词
D O I
10.1159/000183807
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Experiences with peritonitis in a continuous ambulatory peritoneal dialysis (CAPD) program at a single center over 8 years were reviewed. Home-acquired peritonitis rates have been less than 1 episode per patient year since 1982. Gram-positive organisms continue to account for most episodes in a similar proportion. Actual known contamination could be pinpointed in only 7.4% of cases, but was strongly suspected in 35.8% of episodes. Exit site and/or tunnel infections were thought to have caused 20% of the cases. Intrinsic peritonitis probably accounted for 10.5%. Recurrence of peritonitis with the same organisms following cessation of antibiotics represented only 2.1% of cases.
引用
收藏
页码:105 / 109
页数:5
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