INFECTIOUS AND CATHETER-RELATED COMPLICATIONS IN PEDIATRIC-PATIENTS TREATED WITH PERITONEAL-DIALYSIS AT A SINGLE INSTITUTION

被引：19

作者：

KUIZON, B ^{[1
]}

MELOCOTON, TL ^{[1
]}

HOLLOWAY, M ^{[1
]}

INGLES, S ^{[1
]}

HEJING ^{[1
]}

FONKALSRUD, EW ^{[1
]}

SALUSKY, IB ^{[1
]}

机构：

[1] UNIV CALIF LOS ANGELES,MED CTR,SCH MED,DEPT PEDIAT,DIV PEDIAT NEPHROL,LOS ANGELES,CA 90024

来源：

PEDIATRIC NEPHROLOGY | 1995年 / 9卷

关键词：

INFECTIOUS COMPLICATIONS; PERITONEAL DIALYSIS;

D O I：

10.1007/BF00867677

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Continuous ambulatory peritoneal dialysis (CAPD) and continuous cycling peritoneal dialysis (CCPD) are the predominant dialytic modalities for the majority of children while awaiting transplantation. Wide acceptability of peritoneal dialysis is hindered by infectious complications. A retrospective review of 367 pediatric patients treated with CAPD/CCPD for at least 3 months from September 1980 through December 1994 revealed that the peritonitis incidence ranged from 1.7 to 0.78 episodes per patient-year. No differences in peritonitis rates were observed between patients treated with CAPD or CCPD. Gram-positive organisms were responsible for the majority of peritonitis episodes. Age, sex, race, primary renal disease, presence of nephrotic syndrome, and serum albumin level were not associated risk factors. Longer time on treatment and diminished serum IgG level were associated with increased peritonitis incidence. Treatment was successfully completed at home in most cases. Almost half of the catheter losses were caused by Staphylococcus, Pseudomonas, and fungal peritonitis and tunnel/exit-site infections. Infectious complications are still the major causes of morbidity and treatment failure in patients treated with CAPD/CCPD. Thus, controlled studies are needed to assess methods for prevention or improvement of peritonitis rates in this patient population.

引用

页码：S12 / S17

页数：6

共 33 条

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