Peritonitis in continuous ambulatory peritoneal dialysis: analysis of an 8-year experience.
Experiences with peritonitis in a continuous ambulatory peritoneal dialysis (CAPD) program at a single center over 8 years were reviewed. Home-acquired peritonitis rates have been less than 1 episode per patient year since 1982. Gram-positive organisms continue to account for most episodes in a similar proportion. Actual known contamination could be pinpointed in only 7.4% of cases, but was strongly suspected in 35.8% of episodes. Exit site and/or tunnel infections were thought to have caused 20% of the cases. Intrinsic peritonitis probably accounted for 10.5%. Recurrence of peritonitis with the same organisms following cessation of antibiotics represented only 2.1% of cases.
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B
Prowant
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K
Nolph
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L
Ryan
Z
Z
Twardowski
R
R
Khanna
D001424:Bacterial Infections / Q000209:etiology* / Q000382:microbiology; D002404:Catheterization / Q000009:adverse effects; D006094:Gram-Positive Bacteria; D006437:Hemodialysis, Home; D006760:Hospitalization; D006801:Humans; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects*; D010538:Peritonitis / Q000453:epidemiology / Q000209:etiology* / Q000382:microbiology; D012008:Recurrence; D012189:Retrospective Studies