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Two decades of analysis of peritonitis in peritoneal dialysis in Andalusia: Epidemiological, clinical, microbiological and progression aspects.
de la Espada Piña, Verónica; Ganga, Pedro Luis Quirós; Junquero, José Manuel Gil; Fosalba, Nuria Aresté; Girón, Fernando Fernández; Huete, María José Espigares; Ortega, María Peña; Barrero, Gema Velasco; Salazar, Antonio Moreno; Martínez, Francisco Morales; Guerrero, Maria José Marco; de Mota, Elvira Esquivias; Cabrero, Sagrario Soriano; Rodríguez, César Remón.
Afiliação
  • de la Espada Piña V; Hospital Universitario de Puerto Real, Cádiz, Spain. Electronic address: veronica.espadap@gmail.com.
  • Ganga PLQ; Hospital Universitario de Puerto Real, Cádiz, Spain.
  • Junquero JMG; Complejo Hospilatario de Jaén, Jaén, Spain.
  • Fosalba NA; Hospital Virgen de Macarena, Sevilla, Spain.
  • Girón FF; Hospital Juan Ramón Jiménez, Huelva, Spain.
  • Huete MJE; Hospital Virgen de las Nieves, Granada, Spain.
  • Ortega MP; Hospital San Cecilio, Granada, Spain.
  • Barrero GV; Hospital Universitario de Jérez, Cádiz, Spain.
  • Salazar AM; Hospital Puerta del Mar, Cádiz, Spain.
  • Martínez FM; Hospital Torrecárdenas de Almería, Almería, Spain.
  • Guerrero MJM; Hospital Virgen del Rocío, Sevilla, Spain.
  • de Mota EE; Hospital Regional de Málaga, Málaga, Spain.
  • Cabrero SS; Hospital Reina Sofía de Córdoba, Córdoba, Spain.
  • Rodríguez CR; Hospital Universitario de Puerto Real, Cádiz, Spain.
Nefrologia (Engl Ed) ; 41(4): 417-425, 2021.
Article em En | MEDLINE | ID: mdl-36165110
BACKGROUND: This study focuses on the main complication associated with peritoneal dialysis, peritonitis. Its relevance derives from its high morbidity, the negative effect it has on the peritoneum as a dialysis membrane and its financial cost. METHODS: Analytical, non-interventional, observational cohort study, whose main objective is the analysis of peritonitis in patients on peritoneal dialysis in Andalusia from 1 January 1999 to 31 December 2017, with a total of 2904 peritonitis cases. The database used is the Andalusian Autonomous Transplant Coordination Information System (SICATA). OBJECTIVES: To ascertain how the rate of peritonitis is evolving in our community, analyse descriptive data pertaining to patients and peritonitis, ascertain the course of these infectious complications and analyse the factors that influence these cases of peritonitis and their outcomes: germ, hospitalisation and date. RESULTS: The rate of peritonitis decreased progressively during the study period, from 0.7 peritonitis per patient in 1999 to 0.33 at the end of the period. Most infections were treated on an outpatient basis (72.5%). The most common germs were Gram-positive (55.9%), including coagulase-negative staphylococci (28.1%). Most cases of peritonitis progressed to healing (77.8%). The factors that significantly influence the need for hospitalisation and peritonitis progression were the causative germ and associated exit site infection. CONCLUSIONS: In our population, the rate of peritonitis decreased progressively during the study period, meeting guideline recommendations.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Peritonite / Diálise Peritoneal Tipo de estudo: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Humans Idioma: En Revista: Nefrologia (Engl Ed) Ano de publicação: 2021 Tipo de documento: Article País de publicação: Espanha

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Peritonite / Diálise Peritoneal Tipo de estudo: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Humans Idioma: En Revista: Nefrologia (Engl Ed) Ano de publicação: 2021 Tipo de documento: Article País de publicação: Espanha