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 Original Articles |
| Polymicrobial Peritonitis During CAPD |
| JunHee Woo, Ki Up Kim, Hong Soo Kim, Dong Cheol Han, Sang Koo Lee, Seung Duk Hwang, Hi Bahl Lee |
| Hyonam Kidney Laboratory, Soon Chun Hyang University College of Medicine, Seoul, Korea |
Vol.25 Num.4 (p343~349)
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CAPD has established itself as an alternative therapeutic modality to hemodialysis in the treatment of patients with end stage renal disease. Peritonitis in CAPD patients, despite a continuing decrease in frequency, remains as a major complication and the leading cause of CAPD failure. Polymicrobial bacteremia is an infection caused by two or more microbials in blood representing 6~13% of all bacteremia with variable mortalities from 21 to 54 percent. In Korea the mortality of polymicrobial bacteremia was reported to be 34%.
We retrospectively analyzed data from twenty one patients with the polymicrobial peritonitis during CAPD to evaluate the clinical characteristics that may predict polymicrobial peritonitis and the mortality rate.
Even though there were no unique clinical features to predict the occurrence of polymicrobial peritonitis during CAPD, the mortality rate in the patients with polymicrobial peritonitis was significantly higher than that in the peritonitis caused by singular bacterium(9.5% vs 0.9%).
We conclude that attention must be paid to the polymicrobial peritonitis during CAPD because of high mortality in the absence of distinguishing clinical features.
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