Effect of Peritoneal Dialysis Duration on the Outcome of Peritonitis in CAPD Patients.
- Author:
Duk Hyun LEE
1
;
Ji Hyung CHO
;
Min Hwa JANG
;
Yong Bong SHIN
;
Chan Duck KIM
;
Sun Hee PARK
;
Yong Lim KIM
Author Information
1. Department of Internal Medicine, Daegu Fatima Hospital, Korea.
- Publication Type:Original Article
- Keywords:
Continuous ambulatory peritoneal dialysis (CAPD);
Peritonitis;
Technique failure
- MeSH:
Gyeongsangbuk-do;
Humans;
Medical Records;
Peritoneal Dialysis*;
Peritoneal Dialysis, Continuous Ambulatory*;
Peritoneum;
Peritonitis*;
Prognosis;
Renal Dialysis;
Retrospective Studies
- From:Korean Journal of Nephrology
2004;23(3):459-465
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: The clinical manifestations of peritonitis in long-term PD patients may be more severe due to structural and functional alterations of the peritoneum caused by repeated exposure to the bioincompatible dialysate. However, the study in which outcome of peritonitis was compared to the duration of PD has been reported rarely. This study was performed to evaluate the effect of PD duration on the outcome of peritonitis. METHODS: Medical records of patients cared for in Kyungpook University Hospital between June 1998 and May 2001 were reviewed retrospectively. Patients were divided into three groups by PD duration: group 1, < or =12 months; group 2, 13-36 months; group 3, > or =37 months. RESULTS: There were 303 episodes (156 patients) of peritonitis during the study periods: 77 episodes in group 1, 115 episodes in group 2 and 111 episodes in group 3. There was no difference in gram- positive, gram-negative or fungal rate of peritonitis among three groups. In group 3, 16.2% of the patients transferred to hemodialysis, while 3.9% and 7.0% of patients in group 1 and 2 transferred to hemodialysis (p<0.05). CONCLUSION: Patients maintained on PD for over three years are associated with higher rate of technique failure than patients maintained on PD for less than three years. PD duration may be considered as a factor for predicting prognosis of peritonitis. Peritonitis in patients on long-term PD needs special attention.
