New criteria for management of catheter infections in peritoneal dialysis patients using ultrasonography.

Journal of the American Society of Nephrology : JASN
A VychytilM Haag-Weber

Abstract

Catheter-related infection is one of the most important causes of technical dropout in peritoneal dialysis patients. Both the type of cultured organism and the extent of inflammation are well known prognostic factors for the outcome of these infections. From December 1994 to November 1996, 96 catheter-related infections without simultaneous peritonitis occurred in 49 of 86 peritoneal dialysis patients treated in this study. During the observation period, only single-cuff catheters were used. Staphylococcus aureus was the most common organism cultured (51%). Involvement of the tunnel was diagnosed by sonography in 57.1% of all Staphylococcus aureus cases, but only in 26.1% of Staphylococcus epidermidis-related exit-site infections. Ten of the 96 catheter-related infections (10.4%) resulted in catheter loss. Catheter removal was necessary only in cases of deep tunnel infection caused by Staphylococcus aureus. The number of gram-negative catheter infections was too small to allow conclusive analysis. Although sonography of the catheter tunnel is now well established in the early diagnosis of tunnel infections, no clear guidelines exist for management of these infections. In this study, patients with deep tunnel infection who did n...Continue Reading

Citations

Dec 18, 2013·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Beth Piraino, Judith Bernardini
Mar 30, 2021·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Antonio GranataMatthias Zeiler
Nov 10, 2000·Advances in Renal Replacement Therapy·B Piraino
Aug 8, 2012·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Bradley A WaradyFranz Schaefer
Jul 16, 2010·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Philip Kam-Tao LiUNKNOWN International Society for Peritoneal Dialysis
Feb 18, 2006·The International Journal of Artificial Organs·R ScanzianiF Magrì
Jul 11, 2020·Journal of Nephrology·Luca NardelliPiergiorgio Messa
Sep 6, 2005·International Urology and Nephrology·O Ibrahim KarahanCengiz Utas
Jul 13, 2001·Infectious Disease Clinics of North America·V R Minnaganti, B A Cunha
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Feb 5, 2009·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Vimal ChadhaBradley A Warady
Apr 9, 1999·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·A VychytilM Haag-Weber
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Sep 15, 2009·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Helmut Schiffl, Susanne Lang
Feb 17, 2021·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Matthias ZeilerUNKNOWN Project Group ‘Integrated Imaging and Interventional Nephrology’ of the Italian Society of Nephrology

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