Change in bacterial aetiology of peritoneal dialysis-related peritonitis over 10 years: experience from a centre in south-east Asia

被引:64
作者
Szeto, CC [1 ]
Leung, CB [1 ]
Chow, KM [1 ]
Kwan, BCH [1 ]
Law, MC [1 ]
Wang, AYM [1 ]
Lui, SF [1 ]
Li, PKT [1 ]
机构
[1] Chinese Univ Hong Kong, Prince Wales Hosp, Dept Med & Therapeut, Shatin, Hong Kong, Peoples R China
关键词
coagulase-negative staphylococci; dialysis; infection; peritoneal dialysis; peritonitis; renal failure;
D O I
10.1111/j.1469-0691.2005.01222.x
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
This study reviewed 1787 episodes of peritoneal dialysis (PD)-related peritonitis in 544 patients between 1994 and 2003. The overall rate of peritonitis was 0.68 episodes/year of PD, but decreased from 1.10 to 0.46 episodes/year between 1994 and 2003. The incidence of peritonitis caused by coagulase-negative staphylococci declined between 1994 and 1998 from 0.21 to 0.06 episodes/year of PD, coinciding with a reduction in the use of spike PD sets. There was a 60.1% response rate to antibiotics throughout the period, but the percentage of cases that required modification of the initial empirical antibiotic regimen rose from 13.6% to 58.7%, indicating that treatment should be individualised.
引用
收藏
页码:837 / 839
页数:4
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