scholarly journals Peritoneal Dialysis-Related Infection in the Older Population

2015 ◽  
Vol 35 (6) ◽  
pp. 659-662 ◽  
Author(s):  
Cheuk-Chun Szeto

With appropriate training and adequate support, it is possible to keep the peritonitis rate of elderly peritoneal dialysis (PD) patients at a highly respectable level. In general, the latest recommendations for the treatment and prevention of PD-related infections by the International Society for Peritoneal Dialysis (ISPD) are applicable to older patients. However, there are minor differences in the spectrum of causative organisms amongst elderly patients, with coagulase-negative staphylococcal species (CNSS) and Enterobacteriaceae species being more common in elderly patients. Elderly PD patients who develop peritonitis have an excessive short-term mortality, and, amongst elderly patients, a high burden of comorbid load increases the risk of relapsing episodes. In addition, technical problems, social difficulties, and concomitant comorbid diseases often have profound effects on the risk of peritonitis as well as its management.

2004 ◽  
Vol 59 (3) ◽  
pp. M293-M297 ◽  
Author(s):  
G. Zuliani ◽  
A. Cherubini ◽  
A. R. Atti ◽  
A. Ble ◽  
C. Vavalle ◽  
...  

2006 ◽  
Vol 7 (3) ◽  
pp. 108
Author(s):  
G. Guerra ◽  
G. Zuliani ◽  
A. Cherubini ◽  
C. Ruggiero ◽  
F. Di Todaro ◽  
...  

2012 ◽  
Vol 54 (1) ◽  
pp. 214-217 ◽  
Author(s):  
Giovanni Zuliani ◽  
Matteo Galvani ◽  
Francesco Bonetti ◽  
Stefano Prandini ◽  
Stefania Magon ◽  
...  

2014 ◽  
Vol 134 (2) ◽  
pp. 326-330 ◽  
Author(s):  
Roberto Castelli ◽  
Paolo Bucciarelli ◽  
Fernando Porro ◽  
Federica Depetri ◽  
Massimo Cugno

2000 ◽  
Vol 7 (6) ◽  
pp. 466-471 ◽  
Author(s):  
Don D Sin ◽  
Jack V Tu

OBJECTIVES: To determine the association between outpatient use of oral antibiotics and 30-day all-cause mortality following hospitalization in a group of elderly chronic obstructive pulmonary disease (COPD) patients.DESIGN:A population-based retrospective cohort study.SETTING:Ontario, Canada.POPULATION STUDIED:All 26,301 patients, 65 years of age or older, who were hospitalized for COPD between 1992 and 1996 in Ontario.METHODS:All elderly patients admitted at least once with a most responsible diagnosis of COPD using the Canadian Institute for Health Information database were identified. They were then linked to the Ontario Drug Benefit database to determine the use of antibiotics within 30 days of the index hospitalization and to the Ontario registered persons database to determine the 30-day mortality following their index hospitalization.RESULTS:Outpatient use of antibiotics within 30 days before the index hospitalization was associated with a significant reduction in the 30-day mortality following hospitalization (odds ratio [OR] 0.83, 95% CI 0.75 to 0.92). Use of macrolides had the lowest relative odds for mortality (OR 0.58, 95% CI 0.47 to 0.73), while use of fluoroquinolones had the highest relative odds (OR 0.98, 95% CI 0.84 to 1.15).CONCLUSIONS:Use of antibiotics before hospitalization was associated with a significant reduction in the risk of short term mortality among a group of elderly COPD patients who eventually required hospitalization for their disease. These findings support the early use of antibiotics in COPD patients who experience an acute exacerbation.


2009 ◽  
Vol 24 (7) ◽  
pp. 357-362 ◽  
Author(s):  
Frédéric Bloch ◽  
David Jegou ◽  
Jean-François Dhainaut ◽  
Anne-Sophie Rigaud ◽  
Joël Coste ◽  
...  

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