Document Detail

Fungal peritonitis in patients on continuous ambulatory peritoneal dialysis: a single-centre experience in India.
MedLine Citation:
PMID:  18974651     Owner:  NLM     Status:  MEDLINE    
AIMS: The clinical features, treatment and outcome of fungal peritonitis (FP) in continuous ambulatory peritoneal dialysis (CAPD) patients were examined. METHODS: Dialysis records of all 303 end-stage renal disease (ESRD) patients initiated on CAPD treatment between January 1998 and February 2008 were reviewed retrospectively. RESULTS: In the 303 patients dialysed between January 1998 and February 2008, a total of 137 bacterial peritonitis and 43 FP episodes were recorded. The incidence rate of FP was 0.67/100 patient months or 1/148.67 months. It accounted for 23.88% of all peritonitis episodes. Three factors appeared to predict mortality: the presence of non-Candida species, the catheter being left in situ and a serum albumin level <3 g/dl. Multivariate analysis yielded only the latter 2 as predictors of mortality. The use of intraperitoneal antibiotics in the 3 months before infection and low serum albumin have been identified as risk factors for contracting FP. CONCLUSION: Risk factors for contracting FP and for mortality due to FP have been identified.
R Ram; G Swarnalatha; P Neela; K V Dakshina Murty
Publication Detail:
Type:  Journal Article     Date:  2008-10-31
Journal Detail:
Title:  Nephron. Clinical practice     Volume:  110     ISSN:  1660-2110     ISO Abbreviation:  Nephron Clin Pract     Publication Date:  2008  
Date Detail:
Created Date:  2008-12-16     Completed Date:  2009-02-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101159763     Medline TA:  Nephron Clin Pract     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  c207-12     Citation Subset:  IM    
Copyright Information:
(c) 2008 S. Karger AG, Basel.
Nizam's Institute of Medical Sciences, Hyderabad, India.
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MeSH Terms
Ambulatory Care / statistics & numerical data
India / epidemiology
Kidney Failure, Chronic / mortality*,  rehabilitation*
Middle Aged
Peritoneal Dialysis, Continuous Ambulatory / mortality*
Peritonitis / mortality*
Risk Assessment / methods
Risk Factors
Survival Analysis
Survival Rate
Treatment Outcome
Young Adult

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