| Pseudomonas Peritonitis in Peritoneal Dialysis Patients |
| 복막투석 환자에서 녹농균에 의한 복막염 |
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박우영; 황은아; 장미현; 강성식; 최고; 김정은; 한승엽; 김현철; 박성배 |
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| Abstract |
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Peritonitis is one of the major complications leading to mortality and technical
failure in patients undergoing peritoneal dialysis (PD). Especially; peritonitis due to Pseudomonas
species is associated with poor response to conventional antibiotics and with high rates of
catheter removal. We have examined the incidence; clinical course of Pseudomonas peritonitis.
Between January 2001 and December 2008; episodes of peritonitis due to Pseudomonas species
in Keimyung University Dongsan Hospital were reviewed retrospectively. In 820 episodes of
peritonitis occurred during the studied period; a total of 28 episodes of Pseudomonas peritonitis
occurred in 26 PD patients. The mean age of the Pseudomonas peritonitis patients was 57.6±9.9
years; and male:female ratio was 7:19. The mean occurrence period from the beginning of PD was
16.3±14.6 months. The organisms isolated were P. aeruginosa; P. oryzihabitans; P. fluorescens;
P. mendocina; P. stutzeri and P. putida. Peritonitis was cured in 20 cases with the administration
of antibiotics. However; catheters had to be removed in 6 cases. Pseudomonas peritonitis is
associated with high rates of catheter removal. When Pseudomonas peritonitis is not improved
despite of antibiotic treatment; early peritoneal catheter removal must be considered to prevent
further injuries of peritoneum and patient death. |
| Key Words:
Peritoneal dialysis, Peritonitis, Pseudomonas |
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