Exit-Site and Tunnel Infections in Continuous Ambulatory Peritoneal Dialysis Patients

Scalamogna, Antonio; Castelnovo, Claudia; Vecchi, A. De; Ponticelli, Claudio

doi:10.1016/s0272-6386(12)80608-1

Cited by 76 publications

(42 citation statements)

References 9 publications

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“…Exit site infection (ESI) was defined as exudative and/or purulent discharge from the exit site, with pericatheter redness and a positive culture [7]. In this study, we classified recurrent peritonitis into two categories: the second episode of peritonitis caused by the same strain of organism was defined as 'relapse', whereas the second episode of peritonitis caused by a different strain was defined as 'reinfection'.…”

Section: Definitionsmentioning

confidence: 99%

Use of Pulsed-Field Gel Electrophoresis in the Analysis of Recurrent <i>Staphylococcus aureus</i> Infections in Patients on Continuous Ambulatory Peritoneal Dialysis

et al. 2000

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Background/Aim: The purpose of this study was to evaluate pusled-field gel electrophoresis (PFGE) for distinguishing between relapse and reinfection of Staphylococcus aureus infections in patients on continuous ambulatory peritoneal dialysis (CAPD). Methods: Between July 1993 and May 1997, 4 patients with recurrent CAPD-associated infections caused by S. aureus we enrolled in this study. There were nine episodes of peritonitis, one episode of temporary double lumen catheter infection, and one episode of Hickman catheter infection. A total of eleven S. aureus isolates were collected from peritoneal fluid (n = 9) and blood (n = 2). PFGE typing was applied. Results: In our study, from PFGE typing, the 11 S. aureus isolates were classified into seven patterns. Antibiogram profiling classified only four patterns. Patient A had a reinfection by another strain of S. aureus, and patient B had three episodes of peritonitis caused by the same strain of S. aureus due to exit site infections. Patient C had two episodes of CAPD peritonitis caused by two different strains, respectively. Patient D had four episodes of S. aureus infection (three CAPD peritonitis and one bacteremia); the first two episodes of peritonitis were caused by an identical strain of S. aureus, whereas the subsequent two infections were caused by other organisms. Conclusion: PFGE has a high discriminatory power and can be an assistant method to antibiogram profiling for distinguishing relapse from reinfection in CAPD-associated peritonitis.

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Section: Definitionsmentioning

confidence: 99%

Use of Pulsed-Field Gel Electrophoresis in the Analysis of Recurrent <i>Staphylococcus aureus</i> Infections in Patients on Continuous Ambulatory Peritoneal Dialysis

et al. 2000

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“…Moreover, a majority (10,(14)(15)(16) were carried out during earlier years of PD and may not be representative of the current status of the problem. Staphylococcus aureus carriage has been a long-term subject of attention.…”

Section: Discussionmentioning

confidence: 99%

Identification of Targets for Prevention of Peritoneal Catheter Tunnel and Exit-Site Infections in Low Incidence Settings

et al. 2016

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“…10 Although there can be many different causes of PD catheter-related infections, S. aureus is an important cause. It is believed to be the leading cause of PD catheter exit-site infection 11,12 and one of the most frequent causes of PD-related peritonitis. 13 It has been estimated that the peritonitis rates due to S. aureus are 0.09-0.22 per dialysis year.…”

Section: Description Of the Problemmentioning

confidence: 99%

Systematic review of the effectiveness of preventing and treating Staphylococcus aureus carriage in reducing peritoneal catheter-related infections

McCormack¹,

Rabindranath²,

Kilonzo³

et al. 2007

Health Technol Assess

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Exit-Site and Tunnel Infections in Continuous Ambulatory Peritoneal Dialysis Patients

Cited by 76 publications

References 9 publications

Use of Pulsed-Field Gel Electrophoresis in the Analysis of Recurrent <i>Staphylococcus aureus</i> Infections in Patients on Continuous Ambulatory Peritoneal Dialysis

Use of Pulsed-Field Gel Electrophoresis in the Analysis of Recurrent <i>Staphylococcus aureus</i> Infections in Patients on Continuous Ambulatory Peritoneal Dialysis

Identification of Targets for Prevention of Peritoneal Catheter Tunnel and Exit-Site Infections in Low Incidence Settings

Systematic review of the effectiveness of preventing and treating Staphylococcus aureus carriage in reducing peritoneal catheter-related infections

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