Peritonitis among intermittent peritoneal dialysis IPD users

ABSTRACT

Peritoneal dialysis is established as an important modality for maintaining patients with ESRD. Peritonitis remains the major problem facing it. So this work aimed at investigating IPD patients for the earliest signs of peritonitis, isolation and identification of responsible bacterial or fungal pathogens and microbiological study of transcatheter and pericatheter migration of microbes. The present work included 15 patients with chronic renal failure of diverse causes, over a period of 5 months. The results showed that cloudy effluent is the hallmark in diagnosis of peritonitis. Relapsing peritonitis represented 54.71% of total episodes, and it was associated with exit infection, colonized catheter and inadequate treatment. Coagulase negative staphylococci were the most frequently isolated organisms [55.17%] including Staph. xylosus and Staph. lentus. Diphtheroids were the second most commonly isolated pathogens followed by Staph. aureus and E. coli