Wańkowicz Z, Panasiuk E, Pietrzak B, Smoszna J, Witman D
Klinicznego Oddziału Dializoterapii CSK WAM, Warszawa.
Pol Arch Med Wewn. 1992 Jun;87(6):386-92.
Among 37 patients (pts) with irreversible renal failure treated in years 1980-1990 with chronic peritoneal dialysis there were 18 treated with continuous ambulatory peritoneal dialysis (CAPD) and 19 treated with standard intermittent peritoneal dialysis (SIPD). Mean frequency of peritonitis (P) was 1 episode per 9.0 patients-months. The important symptoms for early diagnosis of P were as follows: cloudiness of peritoneal effluent (PE) and high (more than 50%) percentage of polynuclear cells in the smear of PE sediment. Positive results of PE culture were obtained only in 50% of P episodes in years 1980-1985, mostly in pts treated with CAPD (17/21 pts). In the period of 1986-1990, in pts treated mostly with SIPD (15/16 pts), positive results were obtained in 80% of P. Improvements of bacteriological diagnosis of P, especially in pts treated with CAPD, were discussed. "Prophylactic" cultures of PE were found to be of no value.
在1980年至1990年间接受慢性腹膜透析治疗的37例不可逆肾衰竭患者中，18例接受持续非卧床腹膜透析（CAPD）治疗，19例接受标准间歇性腹膜透析（SIPD）治疗。腹膜炎（P）的平均发生频率为每9.0患者 - 月1次发作。P早期诊断的重要症状如下：腹膜透析液（PE）浑浊以及PE沉淀物涂片多核细胞比例高（超过50%）。1980年至1985年期间，仅50%的P发作获得PE培养阳性结果，大多见于接受CAPD治疗的患者（21例中的17例）。在1986年至1990年期间，大多接受SIPD治疗的患者（16例中的15例）中，80%的P获得阳性结果。文中讨论了P细菌学诊断的改进，特别是在接受CAPD治疗的患者中。发现PE的“预防性”培养无价值。
