Peritonitis in an urban peritoneal dialysis program: An analysis of infecting pathogens

Korbet, Stephen M.; Vonesh, Edward F.; Firanek, Catherine

doi:10.1016/0272-6386(95)90152-3

Cited by 37 publications

(32 citation statements)

References 16 publications

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“…Overall, death was higher in patients with peritonitis due to E. coli, and catheter loss had significant association with CONS infection. (19,20). Currently, the incidence of peritonitis has further decreased to 0.33 episodes per patient-year; in some centers, the incidence is as low as 0.2 episodes per patient-year (21).…”

Section: Discussionmentioning

confidence: 99%

Microbiology and Outcomes of Peritonitis in Northern India

Prasad¹,

Singh²,

Rizwan³

et al. 2014

Peritoneal Dialysis International

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Section: Discussionmentioning

confidence: 99%

Microbiology and Outcomes of Peritonitis in Northern India

Prasad¹,

Singh²,

Rizwan³

et al. 2014

Peritoneal Dialysis International

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“…APD has been reported to have several advantages over CAPD, including a lower incidence of peritonitis, mainly on account of fewer connections during the daytime. [8][9][10][11]14 However, the evidence with respect to the effect of APD on peritonitis when compared to CAPD is controversial because the majority of these studies were observational studies and hence prone to biases; therefore, their results may not be entirely reliable. 15 Our results did not demonstrate the superiority of APD to CAPD in reducing episodes of peritonitis.…”

Section: Discussionmentioning

confidence: 99%

“…Given this increasing trend toward the greater use of APD, it is important to know if the proposed clinical benefits of APD are realized when compared to conventional CAPD and whether it is associated with an increased risk of accelerated RRF decline, 6,7 or a decreased incidence of peritonitis. [8][9][10][11] Despite the importance of preserving RRF, there are inconsistent data on the compared ability of CAPD and APD for the preservation of RRF after the initiation of PD therapy. The first purpose of our study was to compare the changes in RRF and infectious complications between APD and CAPD.…”

Section: Introductionmentioning

confidence: 99%

Comparison of clinical characteristics between automated peritoneal dialysis and continuous ambulatory peritoneal dialysis: a 2-year single-center observational study

Lee

Chuang

et al. 2010

Renal Failure

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Aims: To date, there is convincing evidence for the preservation of residual renal function (RRF) in peritoneal dialysis (PD) patients; however, substantially variable data exist on the incidence rate of infectious complications and the decline of RRF for automated peritoneal dialysis (APD) and continuous ambulatory peritoneal dialysis (CAPD). The purpose of our study was to investigate the relative merits or demerits of APD compared with CAPD. Methods: From November 1998 to November 2007, we retrospectively reviewed 32 patients on APD and 140 patients on CAPD. We compared incidences of infectious complications during the entry period. RRF and other PD parameters were determined and compared over 2 years of therapy. In addition, the period of hospitalization was also included for clinical outcome analysis. Results: There were no significant differences between the two modalities with regard to the incidence of peritonitis (1.42/100 patient-months for APD vs. 1.23/100 patient-months for CAPD, p = 0.66). At the end of the second year, there were no significant differences between APD and CAPD with regard to the decline of RRF (14.8 vs. 15.3 L/week/1.73 m 2 , p = 0.84). However, APD significantly increased the value of total weekly Kt/V during this period. Furthermore, we observed a significant reduction in hospitalized days of APD compared with CAPD. Conclusions: We concluded that the selection of the PD modality is not a major determinant of the decline in RRF. APD can be adapted to the targeted adequacy and is at least as efficacious as CAPD when it is expertly applied.

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“…Table 2 31 PDI jaNUaRy 2013 -VoL. 33, No. 1 CLINIC CHARACTERISTICS AND OUTCOME OF PERITONITIS DEI: 22.7 ± 4.22 kcal/kg vs 26.3 ± 11.9 kcal/kg, p = 0.001].…”

Section: Betweenmentioning

confidence: 99%

“…33, No. 1 CLINIC CHARACTERISTICS AND OUTCOME OF PERITONITIS predicts a worse outcome in elderly individuals (6,7), comparisons of the clinical characteristics and outcomes in silent and non-silent peritonitis in the PD population are of interest.…”

mentioning

confidence: 99%

Clinical Characteristics and Outcomes of “Silent” and “Non-Silent” Peritonitis in Patients on Peritoneal Dialysis

Dong

Luo

et al. 2013

Perit Dial Int

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♦ Objectives: We compared the clinical characteristics and outcomes of "silent" peritonitis (meaning episodes without fever and abdominal pain) and "non-silent" peritonitis in patients on peritoneal dialysis (PD). ♦ Methods: Our cohort study collected data about all peritonitis episodes occurring between January 2008 and April 2010. Disease severity score, demographics, and biochemistry and nutrition data were recorded at baseline. Effluent cell counts were examined at regular intervals, and the organisms cultured were examined. Treatment failure was defined as peritonitis-associated death or transfer to hemodialysis. ♦ Results: Of 248 episodes of peritonitis occurring in 161 PD patients, 20.9% led to treatment failure. Of the 248 episodes, 51 (20.6%) were not accompanied by fever and abdominal pain. Patients with these silent peritonitis episodes tended to be older (p = 0.003). The baseline values for body mass index, triglycerides, and daily energy intake were significantly lower before silent peritonitis episodes than before non-silent episodes (p = 0.01, 0.003, and 0.001 respectively). Although silent peritonitis episodes were more often culture-negative and less often caused by gram-negative organisms, and although they presented with low effluent white cell counts on days 1 and 3, the risk for treatment failure in those episodes was not lower (adjusted odds ratio: 1.33; 95% confidence interval: 0.75 to 2.36; p = 0.33). ♦ Conclusions: Silent peritonitis is not a rare phenomenon, especially in older patients on PD. Although these episodes were more often culture-negative, silent presentation was not associated with a better outcome.Perit Dial Int 2013; 33(1):28-37 www.PDIConnect.com epub ahead of print:

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Peritonitis in an urban peritoneal dialysis program: An analysis of infecting pathogens

Cited by 37 publications

References 16 publications

Microbiology and Outcomes of Peritonitis in Northern India

Microbiology and Outcomes of Peritonitis in Northern India

Comparison of clinical characteristics between automated peritoneal dialysis and continuous ambulatory peritoneal dialysis: a 2-year single-center observational study

Clinical Characteristics and Outcomes of “Silent” and “Non-Silent” Peritonitis in Patients on Peritoneal Dialysis

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