Peritonitis is still an important factor for withdrawal from peritoneal dialysis therapy in the Tokai area of Japan

Abstract

We examined clinical status over 3 years in the Tokai area. The results suggest that the incidence of peritonitis needs to be decreased to prevent early withdrawal of PD patients. Education systems to decrease the incidence of peritonitis and techniques to decrease culture-negative results might be important for improving the prognosis of peritonitis.

Microbiology Risk Factors and Outcomes of Peritonitis in Tunisian Peritoneal Dialysis Patients

“…In the Tokai area of Japan, the most common reason for withdrawal PD was PD-related peritonitis (20.7%), as in other countries. The major reason for transfer to HD from 2005 to 2007, in this Japanese study, was peritonitis (26.7%), followed by dialysis failure (21.3%) [12]. In Taiwanese CAPD patients, among 92 patients switching to HD, 42 patients (45.7%) were attributed to peritonitis, followed by operational problems (in 18.5% of cases).…”

“…The respect of these rules leads to a decrease in the proportion of peritonitis episodes. Mujais [14] Kim et al [15] Masashi et al [12] Krishnan et al [16] Kan et al [17] N: number of episodes. CoNS: coagulase-negative staph.…”

“…The experience of Japanese medical centers with large numbers of well-controlled PD patients may explain this discrepancy [12].…”

“…Whereas some of these factors are inconsistent in different reports. In a PD Japanese study, 561 PD subjects were followed up, the risk factors advanced by the study were age > 65 years and the female sex [12]. In this last study, the majority of patients were on CAPD.…”

Peritonitis-induced peritoneal injury models for research in peritoneal dialysis review of infectious and non-infectious models

“…Second, peritonitis remains an important factor in withdrawal from PD. In the PD registry of the Nagoya group from both 2005 to 2007 [4] and 2010 to 2012 [5], the most common reasons for withdrawal from PD have been PD-related peritonitis, followed by dialysis failure/ultrafiltration failure and social problems such as lack of family support. PD peritonitis is primarily caused by gram-positive organisms that typically result from touch contamination.…”