Clinical Aspects of Peritonitis in Peritoneal Dialysis Patient: A Single Center Experience
Soonchunhyang Medical Science
; : 72-79, 2013.
Article
in Korean
| WPRIM (Western Pacific)
| ID: wpr-167285
Responsible library:
WPRO
ABSTRACT
OBJECTIVE:
Peritonitis is one of major complication of peritoneal dialysis. It is the most important reason for removal of peritoneal catheter, death, or converting to hemodialysis. There is a debate that peritonitis decreases residual renal function. Thus, the authors carried out a study to grasp the prognosis of peritonitis which affects residual renal function (RRF) and assessed the risk factors of its clinical course.METHODS:
Among 245 patients who had been on peritoneal dialysis in Soonchunhyang University Bucheon Hospital from April 2001 to March 2012, the author selected 91 patients who had kept on peritoneal dialysis for more than 3 months and experienced more than one episode of peritonitis. The medical records and laboratory findings were reviewed.RESULTS:
During the average period of 36.3+/-22.8 months of peritoneal dialysis, total of 182 episodes of peritonitis developed in 91 study subjects. Among them, the 15 cases (8.2%) did not improve despite of intraperitoneal antibiotics and peritoneal catheter was subsequently removed. Eight patients were dead because of peritonitis related complications. The lactic dehydrogenase (LDH) level of peritoneal fluid at the third day of treatment had a significant correlation with peritonitis treatment failure (odds ratio [OR], 1.079; P=0.009) and death (OR, 1.071; P=0.049), respectively. The RRF after peritonitis became significantly low (P=0.011) compared to before peritonitis. But the slopes of declining rate of RRF were not different between before and after peritonitis (P=0.932).CONCLUSION:
The LDH level of peritoneal fluid at the third day of treatment was correlated with treatment failure or death. The declining rate of RRF was not affected after peritonitis.
Full text:
Available
Health context:
SDG3 - Target 3.4 Reduce premature mortality due to noncommunicable diseases
Health problem:
Digestive System Diseases
/
Other Malignant Neoplasms
Database:
WPRIM (Western Pacific)
Main subject:
Oxidoreductases
/
Peritonitis
/
Prognosis
/
Ascitic Fluid
/
Medical Records
/
Risk Factors
/
Renal Dialysis
/
Peritoneal Dialysis
/
Treatment Failure
/
Hand Strength
Type of study:
Etiology study
/
Prognostic study
/
Risk factors
Limits:
Humans
Language:
Korean
Journal:
Soonchunhyang Medical Science
Year:
2013
Document type:
Article