Inadequate host defenses may partly explain the problem of recurrent peritonitis in patients on continuous ambulatory peritoneal dialysis. It has been suggested that these defenses may be adversely affected by the fluids used for dialysis, and so we examined the effects of unused, effluent, and infected peritoneal dialysis fluids on phagocytosis and killing by normal neutrophils. We used a clinical isolate of Staphylococcus epidermidis as the test organism, as this organism is the most commonly cultured in continuous ambulatory peritoneal dialysis peritonitis; we also used a fungal species, Candida guilliermondii. There was no phagocytosis of either organism in unused dialysate because of lack of opsonins and low pH. Phagocytosis in effluent dialysate did not occur because of inadequate opsonin levels and was variable in infected effluents, depending on quantities of immunoglobulins present. Intracellular killing of both test organisms was normal in unused dialysate in the presence of 5 % normal serum, but was reduced in effluent and infected dialysates because of factors inhibiting killing by neutrophils. These factors adversely affected the killing of S. epidermidis more than that of C. guilliermondii. These results may explain why peritonitis recurs, particularly peritonitis due to S. epidermidis, because organisms could be sequestered within the neutrophils and thus be protected from antibiotic action. Reinfection of the peritoneal cavity would then take place following neutrophil breakdown, causing a clinical relapse.

PurposeThe purpose of this paper is to develop a better understanding of the presence of “green‐collar workers” in organizations, including whether their perception of the organization with regard to environmental activities would affect their willingness to recommend the employer to others. It also aims to analyse generational differences with regard to this phenomenon.Design/methodology/approachThe study used a survey developed from other research on green‐collar workers. It was distributed electronically and the data analysed using primarily χ2 and analysis of variance (ANOVA).FindingsThere were differences in knowledge levels regarding environmental topics such as the Kyoto treaty and the Green‐Collar Jobs Act. Significant correlations were also found among the variables of generation, willingness to recommend employer, and importance of school/workplace being environmentally friendly.Research limitations/implicationsThe use of an online survey was a limitation due to the need for technology access to respond. Despite this limitation, subjects included sufficient members of all four generations to perform the analyzes.Practical implicationsOrganizations that are trying to “go green” may well benefit from improved employee relations as a result. Employees who are interested in environmental issues will more likely recommend their companies to others when they feel the organization reflects their interest.Originality/valueOther studies have not included gender or generational aspects of the issue of environmentalism in their work. This empirical study also investigates the relationship between organizations’ environmental activities, employee perceptions of the organization, and their willingness to recommend their company to others.

Frequent and recurrent episodes of peritonitis are a major cause of morbidity in patients on continuous ambulatory peritoneal dialysis (CAPD). One factor contributing to this problem may be an abnormality of neutrophil function in these patients. We have therefore quantified phagocytosis and killing by circulating and peritoneal neutrophils from patients on CAPD with and without peritonitis. Circulating neutrophils from uninfected patients showed reduced phagocytosis of both Staphylococcus epidermidis and Candida guilliermondii because of an opsonic defect in CAPD serum and because of a defect of the neutrophils themselves. In contrast, phagocytosis by circulating and peritoneal neutrophils from patients with peritonitis was normal. Intracellular killing of C. guilliermondii was normal in all groups of neutrophils but killing of S. epidermidis, the organism most commonly isolated in CAPD peritonitis, was reduced. The possible mechanisms for the enhanced neutrophil activity seen in peritonitis, and for the decreased killing of S. epidermidis in contrast to normal killing of C. guilliermondii are discussed. A defect in killing of S. epidermidis may explain why peritonitis caused by this organism can be difficult to erradicate.

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The in vitro effect of the herbal remedy feverfew on neutrophil function was examined. It was shown that addition of feverfew extract inhibited phagocytosis of Candida guilliermondii and its overall killing. However, intracellular killing was not affected, suggesting that the apparent defect in total killing merely reflected the failure of uptake. The implications for the in vivo effects of feverfew are discussed.