The Effect of Catheter Revision on Intractable Exit Site Infection in CAPD Patients / 대한신장학회잡지
Korean Journal of Nephrology
;
: 753-762, 2004.
Article
in Korean
| WPRIM
| ID: wpr-41158
ABSTRACT
BACKGROUND:
Continuous ambulatory peritoneal dialysis (CAPD) is an important method of renal replacement therapy in chronic renal failure, and reduction of dialysis-associated complication is essential to successful peritoneal dialysis. But catheter related infection is a major cause of catheter loss and transferring to hemodialysis. We use an unique catheter revision method for the treatment of intractable exit-site/tunnel infection in CAPD patients.METHODS:
We reviewed 322 CAPD patients on the ESI/TI from May 1995 to January 2003 at Yeungnam University Hospital. Forty-four patients had exit-site infection more than one times. Prevalence of exit-site infection, kinds of causative micro- organism and results of catheter revision were analyzed retrospectively.RESULTS:
Total follow-up was 5, 834 patient months. ESI occurred on 141 occasions in 44 patients out of 322 patients and cumulative incidence of ESI was 1 per 41.4 patient months. We started empiric antibiotic therapy with oral penicillinase- resistant penicillin and quinolones, thereafter adjusted antibiotics according to the results of culture and sensitivity. The most common organism responsible for ESI was Staphylococcus aureus (MSSA, 34.8%), followed by Pseudomonas aeruginosa (25.5%). Nineteen patients had to be treated with catheter revision to control intractable ESI/TI. With analysis of ten patients who showed relapsed ESI after catheter revision, 5 patients improved with antibiotic therapy and 3 patients improved with additional secondary revision, but remaining 2 patients showed removal of peritoneal catheter to treat combined peritonitis.CONCLUSION:
Catheter revision technique can be regarded as an effective alternative method to treat intractable exit site/tunnel infection before removal of catheter in CAPD patients.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Penicillins
/
Peritonitis
/
Pseudomonas aeruginosa
/
Staphylococcus aureus
/
Incidence
/
Prevalence
/
Retrospective Studies
/
Follow-Up Studies
/
Renal Dialysis
/
Peritoneal Dialysis
Type of study:
Incidence study
/
Observational study
/
Prevalence study
/
Prognostic study
/
Risk factors
Limits:
Humans
Language:
Korean
Journal:
Korean Journal of Nephrology
Year:
2004
Type:
Article
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