An unusual cause of continuous ambulatory peritoneal dialysis–associated outpatient peritonitis: Stenotrophomonas maltophilia

Azak, Alper; Koçak, Gülay; Huddam, Bülent; İşcan, Gökçe; Duranay, Murat

doi:10.1016/j.ajic.2011.01.004

Cited by 7 publications

(3 citation statements)

References 8 publications

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“…Only publications in the English language were included. Including our case series, there were a total of 11 publications-five case series and six single case reports totalling 30 patients presenting with S. maltophilia PD infection between 1999 and 2021 (Table 1) [3][4][5][6][7][8][9][10][11][12]. APD: automated peritoneal dialysis; CAPD: continuous ambulatory peritoneal dialysis; CIN: cervical intraepithelial neoplasia; F: female; HD: haemodialysis; M: male; SD: standard deviation; UK: United Kingdom.…”

Section: Discussionmentioning

confidence: 99%

“…Optimal dosing of trimethoprim-sulfamethoxazole (also known as co-trimoxazole) is the mainstay of treatment but remains limited in its effectiveness towards such infections. Complications of S. maltophilia PD infection may include recurrent infections, dependence on long-term haemodialysis (HD) following PD catheter removal, and mortality [3][4][5][6][7][8][9][10][11][12].…”

Section: Introductionmentioning

confidence: 99%

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Stenotrophomonas maltophilia: A Case Series and Review for an Uncommon Cause of Peritoneal Dialysis-Associated Infection

Floyd

Chinnadurai

et al. 2023

Kidney and Dialysis

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Peritonitis is a common and potentially serious complication of peritoneal dialysis (PD). Common organisms include Staphylococcus Aureus, enterococci, and coagulase-negative staphylococcus. However, Stenotrophomonas maltophilia (S. maltophilia) is an uncommon cause of PD-related infection. We describe a series of three cases of S. maltophilia PD infection (two cases of PD peritonitis and one case of PD exit-site infection) that were identified over a seven-week period in a single centre. The cases were treated with antibiotics (the primary antibiotic being co-trimoxazole) for a mean duration of 30 ± 7.9 days. All of the patients required PD catheter removal due to treatment failure with antibiotics. Hospital admission was required in two of the cases and one case resulted in mortality, with the cause of death directly associated with complications from S. maltophilia infection. A multi-disciplinary team using root-cause analysis did not identify a common link between our cases but highlighted possible risk factors contributing to these presentations. Given the relative rarity of S. maltophilia, evidence on its management options remains limited. In this article, we draw upon our own experiences and examine the literature available from previously published case reports and series. These reports highlight S. maltophilia as a complex and challenging organism to treat. Our experience demonstrated the importance of early PD catheter removal in S. maltophilia PD infection, as this is likely more effective than prolonged antibiotic therapy and hence a safer management option, considering the resistant nature of S. maltophilia.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Stenotrophomonas maltophilia: A Case Series and Review for an Uncommon Cause of Peritoneal Dialysis-Associated Infection

Floyd

Chinnadurai

et al. 2023

Kidney and Dialysis

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“…Baek et al (5) , reported a total of 5 cases including 2 patients with ESI and 3 patients with peritonitis, and 2 patients had catheter loss. Azak A et al (11) , reported a single case, Beatriz Millan Diaz et al (12) , reported single case, and N.Al-Hilali et al (13) reported 4 cases.…”

Section: Discussionmentioning

confidence: 99%

Stenotrophomonas Maltophilia Peritonitis in a Child: Case Report and Review of Literature

Alaygut¹,

Alparslan²,

Sarıtaş³

et al. 2020

Terh

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Stenotrophomonas maltophilia peritonitis has been only occasionally reported in patients undergoing continuous ambulatory peritoneal dialysis (CAPD). Because this microorganism has multi-drug resistance, its treatment is hard and long-term. The treatment might not be successful despite all the efforts and the process of peritoneal dialysis, and may terminate with loss of the catheter. In the present paper, S. maltophilia peritonitis developed in a 6-year-old girl patient, who underwent peritoneal dialysis due to bilateral dysplastic kidney, suffered from episodes of peritonitis frequently and required hospitalization, was presented with literature data. Even though the case received multiple antibiotic treatment and underwent endoluminal brushing (EB), the success of treatment could not be achieved. To the best of our knowledge, this patient is the youngest case in the literature.

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Stenotrophomonas maltophilia and Burkholderia cepacia

Safdar¹

2015

Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases

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An unusual cause of continuous ambulatory peritoneal dialysis–associated outpatient peritonitis: Stenotrophomonas maltophilia

Cited by 7 publications

References 8 publications

Stenotrophomonas maltophilia: A Case Series and Review for an Uncommon Cause of Peritoneal Dialysis-Associated Infection

Stenotrophomonas maltophilia: A Case Series and Review for an Uncommon Cause of Peritoneal Dialysis-Associated Infection

Stenotrophomonas Maltophilia Peritonitis in a Child: Case Report and Review of Literature

Stenotrophomonas maltophilia and Burkholderia cepacia

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