Pathogenic bacteria and therapy experience of peritoneal dialysis-related peritonitis
ZHOU Yu
ZHONG Wei-qiang
CAI Xun
Abstract：Objective To research the etiology and treatment of Continuous ambulatory peritoneal dialysis peritonitis.Methods Dialysate of 84 continuous ambulatory peritoneal dialysis peritonitis patients of last five years were collected,which received bacterium-culture eumycete-culture and susceptibility testing.Patients received empirical antibiotics according to clinical manifestation or pathogen-directed treatments according to susceptibility testing results.Results Fifty-four csses were cultured with bacteria,the positive-culture rate is 64.29%,the highest is Gram staining positive coecobacteria,40.74%,the second is Gram staining negative bacillus,37.04%,and fungus is 9.26%.Among those,25.93%is cultured with E.coli,16.67%is Staphylococcus epidermidis,12.96%is Staphylococcus aureus.The culrum rate of Pseudomonas aeruginosa,Gram staining positive bacillus and Candida parapsilosis are all 5.56%.By the application of empirical antibiotics or treatment with sensitive antibiotics according to susceptibility testing results.the cure rate was 79.76%,exit rate Was 15.48%,mortality was 4.76%.Conclusion The education and training of patients,normalization of operation method,reduction of contact pollution,dietary hygiene,early detection and culture of dialysate early application of empirical antibiotics or treatment with appropriate antibiotics according to susceptibility testing results with patients who had peritonitis symptoms and signs were important factors to guarantee peritoneal dialysis carry out successfully.
Keywords：PeritonitisPeritoneal dialysisPathogenic bacteria
Publication Date：2008-01-01
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：3( 553-555 )