Difficult peritonitis cases in children undergoing chronic peritoneal dialysis: relapsing, repeat, recurrent and zoonotic episodes

Bakkaloğlu, Sevcan A.; Warady, Bradley A.

doi:10.1007/s00467-014-2952-y

Cited by 12 publications

(10 citation statements)

References 40 publications

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“…The poorest outcomes are observed in patients with Gramnegative organisms or fungi peritonitis and in those with a relapsing infection. In this cases, early PD catheter removal with transient switch to haemodialysis is sometimes required [7] . Despite the lower prevalence, fungal infections are associated with the highest mortality rate.…”

Section: Discussionmentioning

confidence: 99%

Comamonas testosteroni-associated peritonitis in a pediatric peritoneal dialysis patient

Parolin¹,

Baraldi²,

Valentini³

et al. 2016

WJN

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Comamonas testosteroni (C. testosteroni ) has been rarely observed as an infectious agent in clinical practice. Few reports described its potential pathogenicity in bloodstream and abdominal infections. Here, we report our experience in the treatment of a C. testosteroniassociated peritonitis in a four-year-old girl receiving chronic peritoneal dialysis (PD). The organism was shown to be highly susceptible to appropriate antibiotic therapy. Infection responded promptly and the patient was managed conservatively without withdrawal from PD.

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Section: Discussionmentioning

confidence: 99%

Comamonas testosteroni-associated peritonitis in a pediatric peritoneal dialysis patient

Parolin¹,

Baraldi²,

Valentini³

et al. 2016

WJN

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“…Ocurre aproximadamente en 10 a 20% de las peritonitis primarias 2 . Los factores de riesgo para presentar una recaída son: menor edad, catéter con cuff único y la exposición a profilaxis antimicrobiana crónica 2 .…”

Section: Recurrencias De Una Peritonitisunclassified

“…Dentro de éstas, las complicaciones infecciosas constituyen la causa más significativa de morbilidad en niños sometidos a diálisis 1 . Representan la primera causa de hospitalización y la segunda causa de mortalidad, alcanzando 5 a 10% del total de pacientes con peritonitis 2 . Esta infección puede tener un gran impacto a corto y largo plazo, disminuyendo el tiempo de vida útil y función de la membrana peritoneal (MP), lo que representa uno de los principales motivos de transferencia a hemodiálisis (HD) 3 .…”

Section: Introductionunclassified

Infecciones asociadas a diálisis peritoneal en el paciente pediátrico: diagnóstico y tratamiento

Rivacoba

Ceballos

Coria

2018

Rev. chil. infectol.

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“…Apesar dos avanços tecnológicos e da melhoria dos cuidados de assepsia do cateter de DP, as peritonites continuam a ser a complicação mais comum em crianças em DP, sendo uma causa importante de morbilidade, hospitalização e falência da técnica. 2,25,26 Tendo em conta que infeções recorrentes e graves podem resultar num comprometimento da função da membrana dialítica e fibrose peritoneal, deve ser instituído tratamento precoce e implementar medidas que promovam a sua prevenção, reforçando o ensino aos pais/cuidadores sobre cuidados de assepsia com o caté-ter. 25,26 Em relação às complicações relacionadas com a DRCT, a mais frequente foi a anemia crónica, presente em todas as crianças da amostra.…”

Section: Idade Gestacionalunclassified

Diálise Peritoneal nos Dois Primeiros Anos de Vida: Experiência de uma Unidade de Nefrologia e Transplantação Renal Pediátrica

Deuchande¹,

Mano

Novais³

et al. 2016

Acta Med Port

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Introduction:Peritoneal dialysis is the dialytic method of choice in chronic end-stage renal disease in children. This study main purpose was to characterize the long-term survival of a pediatric population who began peritoneal dialysis within the first two years of life. Material and Methods: A descriptive and retrospective study was performed in a portuguese nephrology and renal transplantation pediatric unit, between January 1991 and August 2014. End-stage renal disease etiology, mortality, comorbidities and complications of peritoneal dialysis and end-stage renal disease, growth and psychomotor development were evaluated. Results: Twenty children started peritoneal dialysis within the first two years of life. There were six deaths, but no deaths of children with primary chronic kidney disease were registered over the past decade. The 14 living children were characterized; 13 were males. Congenital abnormalities of the kidney and urinary tract were the leading etiology of chronic kidney disease (45%). The average age start of peritoneal dialysis was 6.1 months; six children started before 30 days of life. Peritonitis was the most frequent cause of hospitalization. Ten children were transplanted at an average age of 5.3 years. All of the children who are still in peritoneal dialysis have short stature, but nine of the transplanted have final height within the expected for their mid-parental height target range. Nine (64%) had some type of neurodevelopmental delay. Discussion: Peritoneal dialysis is a technique possible and feasible since birth, as evidenced in the study, as more than half of children successfully started it before 6 months of life. It allows long-term survival until the possibility of renal transplantation despite the associated morbidity, including peritonitis and complications of chronic renal disease. The ten transplanted children improved their growth, recovered from chronic anemia and improved dyslipidemia, compared with the period of dialysis. However, the average waiting time until the renal transplant was 5.3 years higher than other international centers. Conclusion: These data support the use of peritoneal dialysis from birth, but complications and the worst growth reflect the need to develop strategies to optimize care relating to nutrition, growth and development and to reduce pre-transplant time.

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Difficult peritonitis cases in children undergoing chronic peritoneal dialysis: relapsing, repeat, recurrent and zoonotic episodes

Cited by 12 publications

References 40 publications

Comamonas testosteroni-associated peritonitis in a pediatric peritoneal dialysis patient

Comamonas testosteroni-associated peritonitis in a pediatric peritoneal dialysis patient

Infecciones asociadas a diálisis peritoneal en el paciente pediátrico: diagnóstico y tratamiento

Diálise Peritoneal nos Dois Primeiros Anos de Vida: Experiência de uma Unidade de Nefrologia e Transplantação Renal Pediátrica

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