Infectious peritonitis. The main complication of intermittent peritoneal dialysis

K E Hemmeløff Andersen, Hans Jørn Kolmos

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé

Infectious peritonitis was studied in 164 patients with renal failure receiving 24,282 peritoneal dialyses over a five-year period. One hundred and fifty nine episodes were registered in 93 patients. The overall incidence was 0.66 episodes per 100 dialyses. Two epidemics accounted for a higher incidence during the first half of the study, while the incidence of endemic peritonitis remained unchanged. Infectious peritonitis was the most common complication among out-patients and was the cause of drop out in 39 per cent of the patients transferred to haemodialysis. The calculated mortality from peritonitis was 0.08, corresponding to one fifth of all deaths. The case fatality rate was 0.14. The most common aetiological microorganisms were Staphylococcus aureus and micrococci, accounting for 50 per cent of the cases. Forty six per cent of the cases caused by Staphylococcus aureus were preceded by wound or catheter tunnel infections with the same strain. This points to the abdominal skin flora as the main source of endemic peritonitis. However, further epidemiological studies are needed to elucidate how the skin saprophytes reach the peritoneal cavity.

OriginalsprogEngelsk
TidsskriftThe International Journal of Artificial Organs
Vol/bind4
Udgave nummer6
Sider (fra-til)281-5
Antal sider5
ISSN0391-3988
StatusUdgivet - nov. 1981
Udgivet eksterntJa

Fingeraftryk

Dialysis
Skin
Catheters
Microorganisms
Tunnels
Incidence
Peritoneal Cavity
Epidemiologic Studies
Cohort Studies
Outpatients
Wounds and Injuries

Citer dette

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abstract = "Infectious peritonitis was studied in 164 patients with renal failure receiving 24,282 peritoneal dialyses over a five-year period. One hundred and fifty nine episodes were registered in 93 patients. The overall incidence was 0.66 episodes per 100 dialyses. Two epidemics accounted for a higher incidence during the first half of the study, while the incidence of endemic peritonitis remained unchanged. Infectious peritonitis was the most common complication among out-patients and was the cause of drop out in 39 per cent of the patients transferred to haemodialysis. The calculated mortality from peritonitis was 0.08, corresponding to one fifth of all deaths. The case fatality rate was 0.14. The most common aetiological microorganisms were Staphylococcus aureus and micrococci, accounting for 50 per cent of the cases. Forty six per cent of the cases caused by Staphylococcus aureus were preceded by wound or catheter tunnel infections with the same strain. This points to the abdominal skin flora as the main source of endemic peritonitis. However, further epidemiological studies are needed to elucidate how the skin saprophytes reach the peritoneal cavity.",
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Infectious peritonitis. The main complication of intermittent peritoneal dialysis. / Hemmeløff Andersen, K E; Kolmos, Hans Jørn.

I: The International Journal of Artificial Organs, Bind 4, Nr. 6, 11.1981, s. 281-5.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Infectious peritonitis. The main complication of intermittent peritoneal dialysis

AU - Hemmeløff Andersen, K E

AU - Kolmos, Hans Jørn

PY - 1981/11

Y1 - 1981/11

N2 - Infectious peritonitis was studied in 164 patients with renal failure receiving 24,282 peritoneal dialyses over a five-year period. One hundred and fifty nine episodes were registered in 93 patients. The overall incidence was 0.66 episodes per 100 dialyses. Two epidemics accounted for a higher incidence during the first half of the study, while the incidence of endemic peritonitis remained unchanged. Infectious peritonitis was the most common complication among out-patients and was the cause of drop out in 39 per cent of the patients transferred to haemodialysis. The calculated mortality from peritonitis was 0.08, corresponding to one fifth of all deaths. The case fatality rate was 0.14. The most common aetiological microorganisms were Staphylococcus aureus and micrococci, accounting for 50 per cent of the cases. Forty six per cent of the cases caused by Staphylococcus aureus were preceded by wound or catheter tunnel infections with the same strain. This points to the abdominal skin flora as the main source of endemic peritonitis. However, further epidemiological studies are needed to elucidate how the skin saprophytes reach the peritoneal cavity.

AB - Infectious peritonitis was studied in 164 patients with renal failure receiving 24,282 peritoneal dialyses over a five-year period. One hundred and fifty nine episodes were registered in 93 patients. The overall incidence was 0.66 episodes per 100 dialyses. Two epidemics accounted for a higher incidence during the first half of the study, while the incidence of endemic peritonitis remained unchanged. Infectious peritonitis was the most common complication among out-patients and was the cause of drop out in 39 per cent of the patients transferred to haemodialysis. The calculated mortality from peritonitis was 0.08, corresponding to one fifth of all deaths. The case fatality rate was 0.14. The most common aetiological microorganisms were Staphylococcus aureus and micrococci, accounting for 50 per cent of the cases. Forty six per cent of the cases caused by Staphylococcus aureus were preceded by wound or catheter tunnel infections with the same strain. This points to the abdominal skin flora as the main source of endemic peritonitis. However, further epidemiological studies are needed to elucidate how the skin saprophytes reach the peritoneal cavity.

KW - Acinetobacter Infections

KW - Adolescent

KW - Adult

KW - Aged

KW - Bacterial Infections

KW - Child

KW - Corynebacterium Infections

KW - Enterobacteriaceae Infections

KW - Female

KW - Humans

KW - Male

KW - Middle Aged

KW - Peritoneal Dialysis

KW - Peritonitis

KW - Pseudomonas Infections

KW - Staphylococcal Infections

KW - Journal Article

M3 - Journal article

VL - 4

SP - 281

EP - 285

JO - International Journal of Artificial Organs

JF - International Journal of Artificial Organs

SN - 0391-3988

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ER -