Peritonitis in children receiving continuous ambulatory peritoneal dialysis in northeast Thailand
Wisanuyotin, S.; Lertchanaruengrith, P.; Jiravuttipong, A.
Journal of the Medical Association of Thailand 94(7): 789-793
2011
ISSN/ISBN: 0125-2208 PMID: 21774284 Document Number: 14018
To clarify the peritonitis rate and to characterize the differences between the peritonitis and non-peritonitis group in ESRD children using continuous ambulatory peritoneal dialysis (CAPD) in Khon Kaen, Thailand. The authors reviewed the medical records of ESRD children under 15 years old at the time of PD catheter placement, who received CAPD in Srinagarind Hospital, Faculty of Medicine, Khon Kaen University between 1994 and 2007. Eighteen male andfifteen female patients were identified Their mean age at the time of PD catheter placement was 11.48 +/- 3.12 years (range, 3.52-15.67). Twenty patients (11 male and 9female) were complicated with 47 episodes of peritonitis during 400.44 patient-months. The peritonitis rate was one episode every 8.52 patient-months. The three most frequent clinical presentations were cloudy effluent (78.72%), abdominal pain (76.60%) and fever (63.83%). Negative effluent culture was 42.55%. Staphylococcus aureus and Enterococcus species were the two most frequent causative organisms. The dialysis duration and serum creatinine level were significantly different between the peritonitis and non-peritonitis groups. Peritonitis frequently occurred in ESRD children treated by CAPD in Northeast Thailand, particularly from gram-positive organisms. The dialysis duration and serum creatinine level at the time of catheter placement were associated with PD peritonitis.
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