Abstract
To obtain data on peritonitis and exit-site and/or tunnel infections (ESI/TI) in Japanese children undergoing peritoneal dialysis (PD) from January 1999 through June 2003, we surveyed 22 members of the Japanese Study Group of Pediatric Peritoneal Dialysis (JSPPD) by questionnaire. One hundred and thirty patients were eligible. Seventy episodes of bacterial peritonitis occurred in 45 patients (0.17 episodes/patient-year), and 123 ESI/TI occurred in 60 patients (0.29 episodes/patient-year). S. aureus and MRSA were found to be the causative organisms in 39% and 13% of the peritonitis episodes, and in 59% and 20% of the ESI/TI, respectively. Tunnel infection was found in 55% of the MRSA peritonitis episodes. Eleven percent of the peritonitis episodes relapsed, and 19% needed hemodialysis. One patient died due to MRSA peritonitis. The PD catheter was removed in all fungal and 78% of MRSA peritonitis. However, the type of organism did not influence the need for catheter-related surgery for ESI/TI. Neither peritonitis nor ESI/TI was prevented by the use of a swan-neck catheter, a downward-pointing exit site, povidone iodine exit-site care, bathing instruments, or nasal mupirocin. In conclusion, MRSA peritonitis was not uncommon in chi...Continue Reading
References
Aug 1, 1997·Kidney International·C M BunkeT A Golper
Jan 16, 1999·Journal of the American Society of Nephrology : JASN·F SchaeferO Mehls
Apr 25, 2000·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·S HoshiiS Karashima
Jul 8, 2000·Kidney International·B A WaradyL A Donaldson
Mar 27, 2002·Eye·M Iester, M Zingirian
Jul 11, 2002·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Shinzaburo HattoriUNKNOWN Japanese Society for Pediatric Nephrology
Nov 25, 2003·Seminars in Dialysis·Laura TroidleFredric O Finkelstein
Jan 15, 2004·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Beth Piraino
Citations
Jan 12, 2007·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Ari AuronBradley A Warady
Aug 26, 2009·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Deepa H ChandUNKNOWN Medical Review Board of The Renal Network, Inc
Jun 19, 2010·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·W D Vindya N GunasekaraHui-Kim Yap
Jul 21, 2010·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Renske RaaijmakersPeter Nourse
Sep 5, 2008·International Urology and Nephrology·Mesiha EkimLale Sever
Jan 28, 2010·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Sharon J NessimSarbjit V Jassal
Oct 13, 2009·Clinical Journal of the American Society of Nephrology : CJASN·Annabelle N ChuaEileen D Brewer
Aug 8, 2012·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Bradley A WaradyFranz Schaefer
Aug 5, 2008·Journal of Pediatric Surgery·Koichi OhnoKazunori Masahata
Feb 27, 2018·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Sarah J SwartzMichael J G Somers
May 2, 2009·Pediatrics International : Official Journal of the Japan Pediatric Society·Sema AkmanNejat Aksu
Sep 2, 2011·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Beth PirainoCheuk-Chun Szeto
Apr 29, 2010·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Beth Piraino
Jan 11, 2021·Nefrología : publicación oficial de la Sociedad Española Nefrologia·Verónica de la Espada PiñaCésar Remón Rodríguez