ABSTRACT
Peritonitis is a frequent complication in peritoneal dialysis. It may be caused by contamination of the dialysis tubing or by extension of the catheter exit site. Gram-positive bacteria are the most common organism, accounting for 60% of all documented cases of continuous ambulatorial peritonitis dialysis. Fungi are isolated from to 1-15% of cases. Forty-nine out of 490 bottles containing fluid for peritoneal dialysis were randomly selected for microbiological analysis in São Paulo, Brazil. In this report the contamination of peritoneal dialysis fluid by Chaetomium globosum and Chrysonilia sitophila is reported.
ABSTRACT
Since 1985, the Hospital Säo Paulo has a nosocomial infection (NI) control program. The NI control commitee acts in all sectors of the hospital, performing active epidemiologic surveillance. During a period of 58 months (March, 1985 to december, 1989) 8, 268 NI were identified in the 86,849 hospiytalized patients, representing a rate of 9.5 por cento. The most prevalent NI was that of the respiratory tract 21.8 per cent (1,803) followed by: surgical wound 16.7 per cent (1,383), urinary tract 12.2 per cent (1,011), bloodstream 11.2 per cents (924) and other sites 38 per cent (3,147). There was a significant fall in NI rate for each site, mainly respiratory and urinary tract. The patients admitted to the General Intensive Care Unit represented 11 per cent (897) of all detected NI. Some of most frequently isolated agents were: S. aureus 19 per cent (915), E. coli 14 per cent (673), Klebsiella spp 12.4 per cent (598) and pseudomonas spp 12.2 per cent (587)
