title: Atypical mycobacterial exit-site infection and peritonitis in peritoneal dialysis patients on prophylactic exit-site gentamicin cream.
abstract: We report 9 cases of exit-site infection and continuous ambulatory peritoneal dialysis peritonitis associated with atypical mycobacteria. All patients had been using topical gentamicin cream as prophylaxis for exit-site infection before the onset of these infections. Gentamicin cream is postulated to be a potential risk factor for atypical mycobacterial infection because of selective pressure on other micro-organisms. The microbiology of atypical mycobacteria and the treatment for atypical mycobacterial infections are discussed.
authors.affiliation: Renal Unit, Department of Medicine and Geriatrics, and Microbiology Unit,1 Department of Pathology, Kwong Wah Hospital, Hong Kong SAR, PR China. lomw@hgcbroadband.com
authors.forename: Man-wai
authors.initials: MW
authors.lastname: Lo
authors.forename: Siu-ka
authors.initials: SK
authors.lastname: Mak
authors.forename: Yuk-yi
authors.initials: YY
authors.lastname: Wong
authors.forename: Kwok-chi
authors.initials: KC
authors.lastname: Lo
authors.forename: Shuk-fan
authors.initials: SF
authors.lastname: Chan
authors.forename: Gensy M W
authors.initials: GM
authors.lastname: Tong
authors.forename: Kin-yee
authors.initials: KY
authors.lastname: Lo
authors.forename: Ping-nam
authors.initials: PN
authors.lastname: Wong
authors.forename: Cindy W S
authors.initials: CW
authors.lastname: Tse
authors.forename: Kai-Man
authors.initials: KM
authors.lastname: Kam
authors.forename: Andrew K M
authors.initials: AK
authors.lastname: Wong
mesh_terms: D000287:Administration, Topical; D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000008:administration & dosage*; D019072:Antibiotic Prophylaxis; D002404:Catheterization; D002408:Catheters, Indwelling / Q000009:adverse effects / Q000382:microbiology*; D017809:Fatal Outcome; D005260:Female; D005839:Gentamicins / Q000008:administration & dosage*; D006801:Humans; D007674:Kidney Diseases / Q000628:therapy; D008875:Middle Aged; D009165:Mycobacterium Infections, Nontuberculous / Q000382:microbiology / Q000517:prevention & control*; D010531:Peritoneal Dialysis, Continuous Ambulatory; D010538:Peritonitis / Q000382:microbiology / Q000517:prevention & control*
chemical_list: D000900:Anti-Bacterial Agents; D005839:Gentamicins