Peritoneal dialysis-associated peritonitis: Difference between revisions
From IDWiki
(Created page with "== Background == * On average one episode per patient per year === Microbiology === * Coagulase-negative staphylococci * Staphylococcus aureus * Streptococci *...") |
No edit summary |
||
Line 1: | Line 1: | ||
== |
==Background== |
||
⚫ | |||
⚫ | |||
⚫ | |||
⚫ | |||
⚫ | |||
⚫ | |||
⚫ | |||
⚫ | |||
⚫ | |||
⚫ | |||
⚫ | |||
⚫ | |||
⚫ | |||
⚫ | |||
⚫ | |||
⚫ | |||
=== Epidemiology === |
|||
⚫ | |||
⚫ | |||
⚫ | |||
⚫ | |||
⚫ | |||
⚫ | |||
⚫ | |||
⚫ | |||
⚫ | |||
⚫ | |||
⚫ | |||
⚫ | |||
[[Category:Infectious syndromes]] |
|||
⚫ | |||
[[Category:Nephrology]] |
|||
⚫ |
Revision as of 18:39, 7 February 2021
Background
Microbiology
- Coagulase-negative staphylococci
- Staphylococcus aureus
- Streptococci
- Diphtheroids
- Gram-negative bacteria, if underlying GI pathology
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