| Persistent symptomatic intra-abdominal collection after catheter removal for pd-related peritonitis. | |
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MedLine Citation:
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PMID: 20448239 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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BACKGROUND: Peritoneal dialysis (PD) patients with severe peritonitis require catheter removal. It is often assumed that this approach, together with antibiotics, would eradicate the infection; however, some patients continue to have problems despite catheter removal. ♢ Method: We reviewed 30 consecutive PD patients in our center from 1997 to 2008 with recurrent loculated peritoneal collection after catheter removal for severe peritonitis. ♢ RESULTS: Of the 1928 episodes of peritonitis that occurred in 702 patients during the study period, 11.1% required catheter removal and 1.6% developed recurrent peritoneal collection that required percutaneous drainage. Median time to diagnosis of intra-abdominal collection was 12 days after catheter removal (interquartile range 7 - 61 days). In 25 patients (83.3%), aspirate of the abdominal collection was culture negative. In 17 patients (56.7%), the abdominal collection was recurrent and required repeated percutaneous aspiration. Only 3 patients had successful reinsertion of the peritoneal catheter but all had reduced small solute clearance after returning to PD. ♢ CONCLUSION: A small but not negligible proportion of patients with PD-related peritonitis develop recurrent intra-abdominal collection that requires percutaneous drainage after catheter removal. The chance of a successful return to PD is very low in this group of patients. Direct conversion to long-term hemodialysis may avoid unnecessary attempts at peritoneal catheter reinsertion. |
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Authors:
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Cheuk-Chun Szeto; Bonnie Ching-Ha Kwan; Kai-Ming Chow; Wing-Fai Pang; Vickie Wai-Ki Kwong; Chi-Bon Leung; Philip Kam-Tao Li |
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Publication Detail:
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Type: Journal Article Date: 2010-05-06 |
Journal Detail:
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Title: Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis Volume: 31 ISSN: 0896-8608 ISO Abbreviation: Perit Dial Int Publication Date: 2011 Jan |
Date Detail:
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Created Date: 2011-02-01 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8904033 Medline TA: Perit Dial Int Country: Canada |
Other Details:
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Languages: eng Pagination: 34-8 Citation Subset: IM |
Affiliation:
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Department of Medicine & |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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