The risk factors and outcome of fungal peritonitis in continuous ambulatory peritoneal dialysis patients.
Indian J Med Microbiol
;
2009 Jan-Mar; 27(1): 59-61
Article
in English
| IMSEAR
| ID: sea-53798
ABSTRACT
AIM:
To determine the risk factors and outcome of fungal peritonitis in continuous ambulatory peritoneal dialysis (CAPD) patients over a 7-year period. PATIENTS ANDMETHODS:
This retrospective study was conducted on 30 cases of fungal peritonitis in CAPD patients during a 7-year period (2000-2007). The diagnosis was based on elevated CAPD effluent count and isolation of fungi. Patients were evaluated for previous episode of bacterial peritonitis.RESULTS:
The incidence of fungal peritonitis was 16.2%. Age varied between 8 and 75 years, with a mean age of 57 years. Twenty-three were males (76.7%) and seven were females (23.3%). Seventeen patients (56.6%) had previous episodes of bacterial peritonitis that was treated with multiple antibiotics. The common fungus was Candida species (50%). CAPD catheter removal and initiation of antifungal therapy was done for all patients. Reinsertion was done for three (10%) patients. Mortality rate was 20%.CONCLUSION:
Patients with previous bacterial peritonitis and antibiotic usage are at greater risk of developing fungal peritonitis.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Peritonitis
/
Aged
/
Female
/
Humans
/
Male
/
Child
/
Incidence
/
Retrospective Studies
/
Risk Factors
/
Adolescent
Type of study:
Etiology study
/
Incidence study
/
Observational study
/
Prognostic study
/
Risk factors
Language:
English
Journal:
Indian J Med Microbiol
Journal subject:
Microbiology
Year:
2009
Type:
Article
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