scholarly journals Ten-year experience with fungal peritonitis in peritoneal dialysis patients: antifungal susceptibility patterns in a North-American center

2012 ◽  
Vol 16 (1) ◽  
pp. e41-e43 ◽  
Author(s):  
Jasmin Levallois ◽  
Annie-Claire Nadeau-Fredette ◽  
Annie-Claude Labbé ◽  
Michel Laverdière ◽  
Denis Ouimet ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
North American ◽  
Antifungal Susceptibility ◽  
Dialysis Patients ◽  
Fungal Peritonitis ◽  
Susceptibility Patterns

scholarly journals Characteristics and Outcomes of Fungal Peritonitis in a Modern North American Cohort

2015 ◽  
Vol 35 (1) ◽  
pp. 78-84 ◽  
Author(s):  
Annie-Claire Nadeau-Fredette ◽  
Joanne M Bargman
Keyword(s):  
Peritoneal Dialysis ◽  
North American ◽  
Significant Proportion ◽  
Dialysis Patients ◽  
Fungal Peritonitis ◽  
Risk Of Death ◽  
Dialysis Vintage ◽  
Unit Increase ◽  
Wbc Count ◽  
Technique Failure

IntroductionPeritonitis remains a common complication of peritoneal dialysis (PD). Although representing only 1 – 12% of overall peritonitis in dialysis patients, fungal peritonitis (FP) is associated with serious complications, including technique failure and death. Only scarce data have been published regarding FP outcomes in modern cohorts in North America. In this study we evaluated the rates, characteristics and outcomes of FP in a major North American PD center.MethodsWe conducted a retrospective cohort study including all fungal peritonitis episodes among peritoneal dialysis patients followed in a large PD center between January 2000 and February 2013. Our pre-specified end-points included rates of FP, characteristics, outcomes and determinants of death.ResultsThirty-six episodes of FP were identified during the follow-up period (one episode per 671 patient-months), representing 4.5% of the total peritonitis events. Patients’ mean age and peritoneal dialysis vintage were 61.3 ± 15.5 and 2.9 (1.5 – 4.8) years, respectively. Of the 36 episodes of FP, seven (19%) resulted in death and 17 (47%) led to technique failure with permanent transfer to hemodialysis. Surprisingly, PD was eventually resumed in 33% of cases with a median delay of 15 weeks (interquartile range 8 – 23) between FP and catheter reinsertion. In a univariable analysis, a higher Charlson comorbidity index (Odds ratio [OR] 3.25 per unit increase, 95% confidence interval [CI] 1.23 – 8.58) and PD fluid white blood cell (WBC) count greater than 3,000/mm3at presentation (OR 6.56, 95% CI 1.05 – 40.95) predicted death.ConclusionWhile fungal peritonitis is still associated with a high frequency of death and technique failure, one-third of our patients eventually returned to PD. Patients with a high burden of comorbidities appear at higher risk of death. We postulate that the high mortality associated with FP is partially related to the severity of comorbidity among patients with F P, rather than the infection per se. Importantly, PD can be resumed in a significant proportion of cases.

scholarly journals THE RISK FACTORS AND OUTCOME OF FUNGAL PERITONITIS IN CONTINUOUS AMBULATORY PERITONEAL DIALYSIS PATIENTS

2009 ◽  
Vol 27 (1) ◽  
pp. 59-61
Author(s):  
E Indhumathi ◽  
V Chandrasekaran ◽  
D Jagadeswaran ◽  
M Varadarajan ◽  
G Abraham ◽  
...  
Keyword(s):  
Risk Factors ◽  
Peritoneal Dialysis ◽  
Continuous Ambulatory Peritoneal Dialysis ◽  
Dialysis Patients ◽  
Fungal Peritonitis

Concurrent Fungal Peritonitis in Two Sibling Peritoneal Dialysis Patients: Case Report

2016 ◽  
Vol 25 ◽  
Author(s):  
Tuğba Yılmaz ◽  
Orçun Altunören ◽  
Didem Atay ◽  
Safa Ganidağlı ◽  
Elif İnanç ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Case Report ◽  
Dialysis Patients ◽  
Fungal Peritonitis

scholarly journals Fungal peritonitis in peritoneal dialysis patients: is previous antibiotic therapy an essential condition?

Mycoses ◽  
2007 ◽  
Vol 50 (1) ◽  
pp. 79-81 ◽  
Author(s):  
Nuno Guimarães Rosa ◽  
Sónia Silva ◽  
José António Lopes ◽  
Patrícia Branco ◽  
Edgar de Almeida ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Antibiotic Therapy ◽  
Dialysis Patients ◽  
Fungal Peritonitis ◽  
Essential Condition

scholarly journals Predictors and outcomes of fungal peritonitis in peritoneal dialysis patients

2009 ◽  
Vol 76 (6) ◽  
pp. 622-628 ◽  
Author(s):  
Rhianna Miles ◽  
Carmel M. Hawley ◽  
Stephen P. McDonald ◽  
Fiona G. Brown ◽  
Johan B. Rosman ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Dialysis Patients ◽  
Fungal Peritonitis

FUNGAL PERITONITIS AMONG THE PERITONEAL DIALYSIS PATIENTS OF FOUR TURKISH CENTRES

2010 ◽  
Vol 36 (4) ◽  
pp. 186-190 ◽  
Author(s):  
Rumeyza Kazancioglu ◽  
Gulbahar Kirikci ◽  
Muserref Albaz ◽  
Rukiye Dolgun ◽  
Serpil Ekiz
Keyword(s):  
Peritoneal Dialysis ◽  
Dialysis Patients ◽  
Fungal Peritonitis

scholarly journals Peritonites in peritoneal dialysis patients

2018 ◽  
Author(s):  
Emanuelle Barbara Dias Tomaz ◽  
Plínio Trabasso ◽  
Gabriela Jorge Trigo Alves ◽  
Rodrigo Bueno de Oliveira
Keyword(s):  
Risk Factors ◽  
Chronic Kidney Disease ◽  
Peritoneal Dialysis ◽  
Renal Replacement Therapy ◽  
Kidney Disease ◽  
Replacement Therapy ◽  
Dialysis Patients ◽  
Fungal Peritonitis ◽  
Bacteria And Fungi ◽  
Etiological Agents

Peritonitis is one of the most common complications of the population with chronic kidney disease on peritoneal dialysis. The most frequent etiological agents are bacteria and fungi, the latter being responsible for 2 to 5% of the total cases of this type of infection. Fungal peritonitis is severe and its occurrence requires immediate removal of the catheter and transfer of renal replacement therapy for hemodialysis. The present study aimed to retrospectively study the risk factors and clinical outcomes of patients at the Centro Integrado de Nefrologia (CIN) of the Hospital das Clínicas da UNICAMP, who presented bacterial or fungal peritonitis, comparing them to peritoneal dialysis patients who did not present peritonitis.

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