title: Peritonitis in continuous ambulatory peritoneal dialysis in children living in Saudi Arabia.
abstract: The clinical aspects of peritonitis and catheter infections were reviewed in 64 children on continuous ambulatory peritoneal dialysis living in Saudi Arabia over a period of 6 years. Peritonitis occurred in 41 children (64%). The mean time from starting dialysis to the first episode of peritonitis was 7.2 months. The incidence of peritonitis was 1 episode in 9 treatment months. Gram-negative organisms were responsible for the majority of episodes (42%), followed by Gram-positive organisms (20%), and Candida albicans (6%); 32% were culture negative. Recurrent peritonitis was present in 20 cases. Catheter was replaced in 24 patients: 44% due to recurrent peritonitis. Peritoneal membrane loss occurred in 7 patients, 3 had Candida peritonitis and 3 had recurrent peritonitis due to Pseudomonas. The mortality rate was 4.6% but none of the deaths were related to peritonitis or dialysis.
authors.affiliation: Department of Pediatrics, Riyadh Medical Complex, Saudi Arabia.
authors.forename: K
authors.initials: K
authors.lastname: Mirza
authors.forename: A Y
authors.initials: AY
authors.lastname: Elzouki
mesh_terms: D002177:Candidiasis / Q000209:etiology / Q000473:pathology / Q000652:urine; D002404:Catheterization; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D010529:Peritoneal Cavity / Q000473:pathology; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects*; D010538:Peritonitis / Q000209:etiology* / Q000382:microbiology / Q000473:pathology; D011552:Pseudomonas Infections / Q000209:etiology / Q000473:pathology / Q000652:urine; D012008:Recurrence; D012529:Saudi Arabia