Staphylococcal infections in PD: monitoring, screening and prevention.
Peritonitis and catheter infections remain a major complication of peritoneal dialysis, accounting for much of the morbidity associated with the technique. The most common source of infection is contamination with predominantly Gram positive skin flora, Staphylococcus (S) epidermidis and S. aureus. The aims of this study were, (a) to determine the incidence of S. aureus and S. epidermidis infections in the unit, (b) to examine whether treatment of S. aureus carriers may reduce the incidence of exit site infection and (c) to examine whether improving patient education may reduce S. epidermidis peritonitis rate.
Fedorowsky
R
R
Rabin Medical Center, Golda Campus, Israel. fedoro@zahav.net.il
Madar
H
H
Dori
L
L
Naaman
S
S
Chagnac
A
A
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001365:Axilla / Q000382:microbiology; D002353:Carrier State / Q000175:diagnosis / Q000517:prevention & control; D002408:Catheters, Indwelling / Q000009:adverse effects; D002985:Clinical Protocols / Q000592:standards; D003428:Cross Infection / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control; D006119:Groin / Q000382:microbiology; D006801:Humans; D015994:Incidence; D017053:Infection Control / Q000379:methods* / Q000592:standards; D007557:Israel; D008403:Mass Screening / Q000379:methods / Q000592:standards; D008875:Middle Aged; D009297:Nasal Mucosa / Q000382:microbiology; D010353:Patient Education as Topic; D010530:Peritoneal Dialysis / Q000009:adverse effects*; D010538:Peritonitis / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control; D011322:Primary Prevention / Q000379:methods; D015397:Program Evaluation; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control; D013211:Staphylococcus aureus; D013212:Staphylococcus epidermidis