Peritonitis in Peritoneal Dialysis Patients in Uruguay

Gadola, Liliana; Orihuela, Lucía; Pérez, Daniel I.; Gómez, Teresa; Solá, Laura; Chifflet, Liliana; Mautone, Mariela; Torres, Eugenia Rita Marimón; Rodriguez, Grisel

doi:10.1177/089686080802800307

Cited by 8 publications

(3 citation statements)

References 11 publications

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“…Peritonitis was the major complication in this study. As in the literature, coagulase-negative staphylococcus was the most common agent despite the use of a twin-bag system to reduce bag exchange-related external contamination (16). The peritonitis rate in our program was 1 episode per 57.79 patient-months.…”

Section: Discussionmentioning

confidence: 56%

Outcome and Risk Factors for Mortality in Pediatric Peritoneal Dialysis

et al. 2010

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Section: Discussionmentioning

confidence: 56%

Outcome and Risk Factors for Mortality in Pediatric Peritoneal Dialysis

et al. 2010

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“…Peritonitis rates have been used in the quality evaluation of PD programs (32-34). In Uruguay, a national registry of PD infections (active since 2004) demonstrated that the main causative micro-organism is methicillin-resistant CNS; the national overall peritonitis rate is 0.5 episodes/patient–year (35). In the present study, the overall peritonitis rate showed significant improvement in the 2 years after the PDEP began compared with the 2 years before, declining to 0.28 episodes/patient–year from 0.55 episodes/patient–year.…”

Section: Discussionmentioning

confidence: 99%

Using a Multidisciplinary Training Program to Reduce Peritonitis in Peritoneal Dialysis Patients

et al. 2013

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♦ObjectivesThe present study evaluated the tool used to assess patients’ skills and the impact on peritonitis rates of a new multidisciplinary peritoneal dialysis (PD) education program (PDEP).♦MethodsAfter the University Hospital Ethics Committee approved the study, the educational and clinical records of PD patients were retrospectively analyzed in two phases. In phase I, an Objective Structured Assessment (OSA) was used during August 2008 to evaluate the practical skills of 25 patients with adequate Kt/V and no mental disabilities who had been on PD for more than 1 month. Test results were correlated with the prior year's peritonitis rate. In phase II, the new PDEP, consisting of individual lessons, a retraining schedule, and group meetings, was introduced starting 1 September 2008. Age, sex, years of education, time on PD, number of training sessions, and peritonitis episodes were recorded. Statistical analyses used t-tests, chi-square tests, and Poisson distributions; a p value of less than 0.05 was considered significant.♦ResultsIn phase I, 25 patients [16 men, 9 women; mean age: 54 ± 15 years (range: 22 – 84 years); mean time on PD: 35 ± 30 months (range: 1 – 107 months)] were studied. The OSA results correlated with peritonitis rates: patients who passed the test had experienced significantly lower peritonitis rates during the prior year ( p < 0.05). In phase II, after the new PDEP was introduced, overall peritonitis rates significantly declined (to 0.28 episodes/patient–year from 0.55 episodes/patient–year, p < 0.05); the Staphylococcus peritonitis rate also declined (to 0.09 episodes/patient–year from 0.24 episodes/patient–year, p < 0.05).♦ConclusionsThe OSA is a reliable tool for assessing patients’ skills, and it correlates with peritonitis rates. The multidisciplinary PDEP significantly improved outcomes by further lowering peritonitis rates.

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“…La peritonitis relacionada con la diálisis peritoneal (DP) es una de las principales causas del fracaso de la técnica [1][2][3] . Desde el año 2004 el Grupo de Estudio de Diálisis Peritoneal de la Sociedad Uruguaya de Nefrología lleva un registro de todos los episodios de peritonitis del país, con el objetivo de adecuar el protocolo antibiótico empírico inicial a los gérmenes prevalentes y su perfil de sensibilidad 4,5 . En Uruguay, la incidencia es 0.33 peritonitis/paciente-año 6 .…”

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Peritonitis por Acinetobacter en pacientes en diálisis peritoneal: prevalencia, características microbiológicas y resultados en una población de Uruguay

Silvariño¹,

Román²,

Baccino³

et al. 2021

NEFRO

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La peritonitis en diálisis peritoneal (DP) es una complicación grave, y Acinetobacter raramente la causa. Analizamos la prevalencia, sensibilidad, tratamiento y evolución de peritonitis por Acinetobacter en tres centros de DP. Material y métodos: Se incluyeron pacientes mayores de 18 años, asistidos entre 1/1/2008 y 31/12/2018. Resultados: Se registraron 336 peritonitis (0,39 peritonitis/paciente-año): 139 (41.36%) por gram positivos, 95 (28.27%) por gram negativos, 18 (5.35%) por hongos y 80 (23.80%) por cultivos sin desarrollo. En 10 (2.97%) se aisló Acinetobacter. Tenían una edad media de 53.5 ± 15.7 años, el 50% eran diabéticos, en DP por 24 ± 19 meses, y 8 de los10 con antecedente de peritonitis previa. La especie de Acinetobacter más frecuente fue Baumannii (5/10), seguida por Ursingii (2/10) y Acinetobacter L woffii (1/10). El tratamiento inicial fue según el protocolo nacional: vancomicina y amikacina intraperitoneales, y en todos se realizó cambio de antibiótico al identificar microorganismo. Presentaron cura clínica y microbiológica 9 pacientes, y 1 falleció. La frecuencia de retiro de catéteres peritoneales y muerte no presentó diferencia comparada con las peritonitis por gram negativos (Chi 2 p = 0.63) y gram positivos (Chi 2 p = 0.58). Conclusión: La peritonitis por Acinetobacter es infrecuente en nuestro medio, mostró un perfil de sensibilidad antibiótica favorable y la tasa de curación y complicaciones no difirió con las peritonitis por otros microorganismos.

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Peritonitis in Peritoneal Dialysis Patients in Uruguay

Cited by 8 publications

References 11 publications

Outcome and Risk Factors for Mortality in Pediatric Peritoneal Dialysis

Outcome and Risk Factors for Mortality in Pediatric Peritoneal Dialysis

Using a Multidisciplinary Training Program to Reduce Peritonitis in Peritoneal Dialysis Patients

Peritonitis por Acinetobacter en pacientes en diálisis peritoneal: prevalencia, características microbiológicas y resultados en una población de Uruguay

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