Gram Negative Rod Peritonitis in Peritoneal Dialysis

Shemin, Douglas

doi:10.1111/j.1525-139x.1997.tb00458.x

Cited by 6 publications

(1 citation statement)

References 87 publications

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“…These results are consistent with those of previous reports in the literature. [9][10][11] PD-associated peritonitis caused by Gram-positive coccus is mainly due to inappropriate PD handling. In this study, all patients who were trained for appropriate use of PD lived in the city and did not share a room with others.…”

Section: Discussionmentioning

confidence: 99%

Risk factors for peritoneal dialysis–associated peritonitis

Wang

Dou

et al. 2018

Eur J Inflamm

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The purpose of this study was to summarize the pathogens that cause peritoneal dialysis (PD)-associated peritonitis and to identify risk factors for PD-associated peritonitis. This retrospective study included 115 end-stage renal disease (ESRD) patients receiving PD therapy. Patients were categorized into two groups: peritonitis group (n = 41) and nonperitonitis group (n = 74). Clinical data and laboratory tests were collected from medical records. The multivariate logistic regression model was used to evaluate associations between PD-associated peritonitis and potential risk factors. PDassociated peritonitis occurred 54 times in 41 patients. The most frequently identified pathogen was Gram-positive cocci (57.78%). Multivariate logistic regression analysis showed that serum albumin (β =-0.208, P < 0.001), blood phosphorus concentration (β =-1.732, P = 0.001), gastrointestinal disorders (β = 1.624, P = 0.043), and use of calcitriol (β =-2.239, P = 0.048) were significantly correlated with PD-associated peritonitis. Receiver operating characteristic (ROC) curves showed that the areas under the curve were 0.832 for serum albumin and 0.700 for blood phosphorus concentration with optimal cutoff values of 29.1 g/L for serum albumin and 1.795 mmol/L for blood phosphorus concentration. Gram-positive coccus is the major pathogen responsible for PD-associated peritonitis. Serum albumin <29.1 g/L, blood phosphorus concentration <1.795 mmol/L, and intestinal disorders are risk factors for PD-associated peritonitis, whereas the use of calcitriol can reduce the risk of PD-associated peritonitis.

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Section: Discussionmentioning

confidence: 99%