Open AccessClinicoepidemiological profile of peritonitis complicating acute peritoneal dialysis: A single-center experience
Author(s) -
Kunal Gandhi,
D Krishna Prasad,
Vinay Malhotra,
D. P. Agrawal,
Pankaj Beniwal,
Amith Vijay Leon D'Souza
Publication year - 2017
Publication title -
saudi journal of kidney diseases and transplantation/našrat amraḍ wa zira'aẗ al-kulaẗ
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.268
H-Index - 30
eISSN - 2320-3838
pISSN - 1319-2442
DOI - 10.4103/1319-2442.215125
Subject(s) - medicine , peritonitis , peritoneal dialysis , single center , incidence (geometry) , sepsis , intensive care unit , dialysis , surgery , acute kidney injury , antibiotics , physics , microbiology and biotechnology , optics , biology
A prospective observational study examining the incidence and microbiological aspects of peritonitis complicating acute intermittent peritoneal dialysis (IPD) was performed. A total of 145 acute IPD treatments were included involving 112 patients. The majority of patients suffered from acute kidney injury (72.3%) secondary to sepsis. Peritonitis occurred in 31 treatment sessions, giving a frequency of 21.4% of procedures performed. The mean interval between starting dialysis and the first sign of peritonitis was 2.9 days, with 58% of cases occurring in the Intensive Care Unit. Frequent catheter manipulation/repositioning and leakages were identified as significant predisposing factors for peritonitis, and the risk of peritonitis was increased with longer duration of IPD. Gram-negative infections were more common than Grampositive infections. The use of systemic antibiotics did not prevent the development of peritonitis