Peritoneal dialysis-associated peritonitis: Difference between revisions

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== Background ==
==Background==


===Microbiology===
* On average one episode per patient per year


*[[Coagulase-negative staphylococci]]
=== Microbiology ===
*[[Staphylococcus aureus]]
*[[Streptococci]]
*[[Diphtheroids]]
*[[Gram-negative bacteria]], if underlying GI pathology


===Pathophysiology===
* [[Coagulase-negative staphylococci]]
* [[Staphylococcus aureus]]
* [[Streptococci]]
* [[Diphtheroids]]
* [[Gram-negative bacteria]], if underlying GI pathology


*Acquired from catheter, exit site, dialysate fluid, or transmural migration
== Pathophysiology ==

=== Epidemiology ===

* On average one episode per patient per year


==Clinical Manifestations==
* Acquired from catheter, exit site, dialysate fluid, or transmural migration


*[[Peritonitis]], with diffuse abdominal pain and tenderness and cloudy or purulent dialysate
== Clinical Manifestations ==
*Typically no fever


==Management==
* [[Peritonitis]], with diffuse abdominal pain and tenderness and cloudy or purulent dialysate
* Typically no fever


*Intraperitoneal antibiotics are preferred unless systemic infection or bacteremia
== Management ==
*Duration 14 to 21 days, or 1 week after catheter removal


[[Category:Infectious syndromes]]
* Intraperitoneal antibiotics are preferred unless systemic infection or bacteremia
[[Category:Nephrology]]
* Duration 14 to 21 days, or 1 week after catheter removal

Revision as of 18:39, 7 February 2021

Background

Microbiology

Pathophysiology

  • Acquired from catheter, exit site, dialysate fluid, or transmural migration

Epidemiology

  • On average one episode per patient per year

Clinical Manifestations

  • Peritonitis, with diffuse abdominal pain and tenderness and cloudy or purulent dialysate
  • Typically no fever

Management

  • Intraperitoneal antibiotics are preferred unless systemic infection or bacteremia
  • Duration 14 to 21 days, or 1 week after catheter removal