title: Peritoneal dialysis-related peritonitis with Acinetobacter baumannii: a review of seven cases.
abstract: Peritonitis is still known as an important complication of continuous ambulatory peritoneal dialysis (CAPD). Multi-drug resistant (MDR) Acinetobacter baumannii is an increasing problem worldwide. Moreover, the increasing reports of carbapenem-resistant A. baumannii strains is common. Although peritoneal dialysis-related peritonitis with MDR A. baumannii is rarely reported, infection with this organism always results in serious peritonitis and increases the possibility of dropout or mortality. Here, we present 7 cases of peritonitis caused by A. baumannii species. Among those 7 cases, 2 involved MDR A. baumannii, and 1 involved a carbapenem-resistant strain. All the MDR bacterial infections failed treatment. We also review the literature about Acinetobacter peritonitis and current treatment protocols.
authors.affiliation: Department of Nephrology, The First Affiliated Hospital of Anhui Medical University, Anhui, PR China.
authors.forename: Wei
authors.initials: W
authors.lastname: Zhang
authors.affiliation: Department of Nephrology, The First Affiliated Hospital of Anhui Medical University, Anhui, PR China.
authors.forename: Yong-Gui
authors.initials: YG
authors.lastname: Wu
authors.affiliation: Department of Nephrology, The First Affiliated Hospital of Anhui Medical University, Anhui, PR China.
authors.forename: Xiang-Ming
authors.initials: XM
authors.lastname: Qi
authors.affiliation: Department of Nephrology, The First Affiliated Hospital of Anhui Medical University, Anhui, PR China.
authors.forename: Hong
authors.initials: H
authors.lastname: Dai
authors.affiliation: Department of Nephrology, The First Affiliated Hospital of Anhui Medical University, Anhui, PR China.
authors.forename: Wen
authors.initials: W
authors.lastname: Lu
authors.affiliation: Department of Nephrology, The First Affiliated Hospital of Anhui Medical University, Anhui, PR China.
authors.forename: Min
authors.initials: M
authors.lastname: Zhao
mesh_terms: D000151:Acinetobacter Infections / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology; D040981:Acinetobacter baumannii / Q000302:isolation & purification*; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D024901:Drug Resistance, Multiple, Bacterial; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010530:Peritoneal Dialysis / Q000009:adverse effects*; D010538:Peritonitis / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology
chemical_list: D000900:Anti-Bacterial Agents
keywords: Acinetobacter baumannii; Peritonitis; multi-drug resistance; peritonitis treatment