Microbiology and Outcomes of Peritonitis in Northern India

Prasad, Kashi Nath; Singh, Kamlesh Kumar; Rizwan, Arshi; Mishra, Pulak; Tiwari, Dinesh; Prasad, Narayan; Gupta, Amit

doi:10.3747/pdi.2012.00233

Cited by 37 publications

(29 citation statements)

References 32 publications

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“…At the end of the 3-year period, gram-positive and gram-negative organisms accounted for almost equal proportions of peritonitis at our center. This trend is also noted in our national registry [17] and similar to those reported by Prasad et al [12] and other studies [20,21]. Most of the previous series, however, reported that gram-positive bacteria accounted for approximately two thirds of the peritonitis episodes with gram-negative bacteria accounting for one third or less of peritonitis episodes [4, 9, 11, 13].…”

Section: Peritonitis and Microbiologysupporting

confidence: 71%

“…Our study also confirmed that catheter loss was significantly higher in gram-negative peritonitis, as compared to gram-positive peritonitis (38.9 vs 16.7%, p = 0.027). This has been reported in many previous series, where gram-negative peritonitis was associated with a higher rate of antimicrobial resistance, catheter loss, shift of PD to hemodialysis, and mortality [12,29,30].…”

Section: Peritonitis and Microbiologysupporting

confidence: 53%

“…The current study has allowed us to evaluate the evolution of microbiology in CAPD peritonitis in our population. Over the 3-year study period, there was an increasing incidence in CAPD peritonitis in contrary to other centers which showed significant decreasing trend in incidence over years [12,13]. This is worrying and may be contributed by the reasons stated below but needs further analysis so that the rate of peritonitis can be reduced.…”

Section: Peritonitis and Microbiologymentioning

confidence: 43%

See 2 more Smart Citations

Causative organisms and outcomes of peritoneal dialysis-related peritonitis in Sarawak General Hospital, Kuching, Malaysia: a 3-year analysis

Phui

Tan

Chen³

et al. 2017

Ren Replace Ther

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Background: Peritoneal dialysis peritonitis remains a significant cause of morbidity for peritoneal dialysis patients and the main reason for conversion from peritoneal dialysis to hemodialysis. As the characteristics of patients and microbial susceptibility vary from center to center, the aim of this study is to evaluate the microbiology and the clinical outcomes among continuous ambulatory peritoneal dialysis patients in Kuching, Malaysia. Methods: This is a retrospective record review of 82 continuous ambulatory peritoneal dialysis patients who developed peritonitis during 2013 to 2015. Data examined included patients' demographic data, causative organisms, and outcomes. Results: A total of 124 episodes of peritonitis were recorded, and the overall peritonitis rate was 0.40 episodes per patient-year. There was an increasing incidence in continuous ambulatory peritoneal dialysis peritonitis over the 3-year study period (0.35 to 0.47 episodes per patient-year). The gram-negative peritonitis rate increased over the period until towards the end of the study period, when gram-positive and gram-negative organisms accounted for almost equal proportions of peritonitis. Streptococcus sp. was the most common organism among the gram-positive peritonitis while Pseudomonas sp. was the most common organism in gram-negative peritonitis. The culture-negative peritonitis rate was 25.8%. The peritoneal dialysis catheter was removed in 32 episodes (26.6%). The catheter loss rate was significantly higher in gram-negative peritonitis, as compared to gram-positive peritonitis (38.9 vs 16.7%, p = 0.027). Conclusions: The increasing trend of peritonitis and high rates of culture negativity and peritoneal dialysis catheter removal are areas that need further evaluation and improvement in the future. Study on risk factors of continuous ambulatory peritoneal dialysis peritonitis, detailed microbiology, and antimicrobial treatment and response are warranted to further improve the outcomes of continuous ambulatory peritoneal dialysis patients.

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Section: Peritonitis and Microbiologysupporting

confidence: 71%

Section: Peritonitis and Microbiologysupporting

confidence: 53%

Section: Peritonitis and Microbiologymentioning

confidence: 43%

See 1 more Smart Citation

Causative organisms and outcomes of peritoneal dialysis-related peritonitis in Sarawak General Hospital, Kuching, Malaysia: a 3-year analysis

Phui

Tan

Chen³

et al. 2017

Ren Replace Ther

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“…are the most common isolate. 1 We present 3 uncommon organisms that were isolated as culprit peritonitis agents.…”

Section: Discussionmentioning

confidence: 99%

Atypical Peritonitis Agents and Clinical Follow-up in Peritoneal Dialysis Patients

Kılıç¹,

Güngör²,

Kurultak³

et al. 2016

Turkiye Klinikleri J Intern Med

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“…However, its incidence highly depends on the prevalence of ESBL in the dialysis providing institution. In 2014, Parsada et al reported one of the highest rates of ESBL PDP in India, with 54.3% of PDP Enterobacteriaceae isolates being ESBL-producers [1]. On the other hand, out of 125 gram-negative PDP patients, a retrospective study in Southern Taiwan reported only 1 case of ESBLs PDP between 1990 to 2011 [9].…”

Section: Case Presentationmentioning

confidence: 99%