Clinical Aspects of Peritonitis in Peritoneal Dialysis Patient: A Single Center Experience
Soonchunhyang Medical Science
; : 72-79, 2013.
Article
em Ko
| WPRIM
| ID: wpr-167285
Biblioteca responsável:
WPRO
ABSTRACT
OBJECTIVE: Peritonitis is one of major complication of peritoneal dialysis. It is the most important reason for removal of peritoneal catheter, death, or converting to hemodialysis. There is a debate that peritonitis decreases residual renal function. Thus, the authors carried out a study to grasp the prognosis of peritonitis which affects residual renal function (RRF) and assessed the risk factors of its clinical course. METHODS: Among 245 patients who had been on peritoneal dialysis in Soonchunhyang University Bucheon Hospital from April 2001 to March 2012, the author selected 91 patients who had kept on peritoneal dialysis for more than 3 months and experienced more than one episode of peritonitis. The medical records and laboratory findings were reviewed. RESULTS: During the average period of 36.3+/-22.8 months of peritoneal dialysis, total of 182 episodes of peritonitis developed in 91 study subjects. Among them, the 15 cases (8.2%) did not improve despite of intraperitoneal antibiotics and peritoneal catheter was subsequently removed. Eight patients were dead because of peritonitis related complications. The lactic dehydrogenase (LDH) level of peritoneal fluid at the third day of treatment had a significant correlation with peritonitis treatment failure (odds ratio [OR], 1.079; P=0.009) and death (OR, 1.071; P=0.049), respectively. The RRF after peritonitis became significantly low (P=0.011) compared to before peritonitis. But the slopes of declining rate of RRF were not different between before and after peritonitis (P=0.932). CONCLUSION: The LDH level of peritoneal fluid at the third day of treatment was correlated with treatment failure or death. The declining rate of RRF was not affected after peritonitis.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Oxirredutases
/
Peritonite
/
Prognóstico
/
Líquido Ascítico
/
Prontuários Médicos
/
Fatores de Risco
/
Diálise Renal
/
Diálise Peritoneal
/
Falha de Tratamento
/
Força da Mão
Tipo de estudo:
Etiology_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Humans
Idioma:
Ko
Revista:
Soonchunhyang Medical Science
Ano de publicação:
2013
Tipo de documento:
Article