Abstract
Catheter-related nontuberculous mycobacterial infection in children with chronic renal failure on peritoneal dialysis (PD) is rare. However, there have been five such infections in infants among PD patients at our center. Although the patients were treated with antibiotics to which the organisms showed in vitro sensitivity, they were clinically drug resistant. Hence, all PD catheters needed to be removed. Thereafter, following hemodialysis treatment for approximately 1 month, the PD catheters were replaced, with no recurrence of infection. On investigation of the infection route, it was found that these bacteria had colonized around a shower head in one of the bathrooms. These findings suggest that, in cases where hot water systems at hospitals are considered at a high risk, frequent sterilization is needed, especially around the shower heads. It is also necessary to reconsider current standard practices in the management of catheter exit sites, especially if the national incidence of infection increases.
References
Jul 1, 1991·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·R B Dunmire, J A Breyer
Jan 1, 1990·American Journal of Nephrology·J J SennesaelD L Verbeelen
Oct 1, 1989·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·F SorianoM Velo
Jun 1, 1989·American Journal of Clinical Pathology·T L Merlin, A H Tzamaloukas
Nov 1, 1988·The American Journal of Medicine·R D LondonE J Bottone
Dec 1, 1988·Applied and Environmental Microbiology·L A CarsonR C Good
Aug 1, 1995·Tubercle and Lung Disease : the Official Journal of the International Union Against Tuberculosis and Lung Disease·R Schulze-RöbbeckeG Wahl
Oct 1, 1993·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·R WhiteR McCoy
Mar 1, 1993·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·A HakimP D Reuman
May 29, 1999·Applied and Environmental Microbiology·T C CovertG N Stelma
Nov 27, 1999·American Journal of Nephrology·G Vera, S Q Lew
Sep 9, 2000·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·C HeviaR Selgas
Jan 1, 1959·The Medical Clinics of North America·E H RUNYON
May 10, 2005·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Eileen N EllisJ Gary Wheeler
Jun 27, 2007·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Kai-Chung TseWai Kei Lo