Ahlmén J, Schönborg C
Department of Nephrology, Central Hospital, Skövde, Sweden.
Adv Perit Dial. 1991;7:117-9.
Grading of exit sites was performed at 265 routine outpatient visits of 28 patients starting CAPD between January 1988 and February 1990, with a total observation time of 398.5 months to December 1990. Six patients had no peritonitis episode. The remaining 22 patients suffered from 43 peritonitis episodes. Fifty-eight per cent of these were caused by Staphylococcus epidermidis. Eighty-six per cent of the examinations of exit sites of patients with peritonitis episodes showed 0 to 1 point on an arbitrary grading scale of up to 9 points. Staphylococcus aureus was found after bacterial culture from exit site smears in 3 cases. All were adequately treated. None of these cases showed any peritonitis episodes with this bacteria. No relationship could be found between the grading of the exit site at routine outpatient clinic visits and the appearance of a peritonitis episode. Grading of exit sites is of clinical importance but cannot predict the appearance of peritonitis.
1988年1月至1990年2月期间，对28例开始进行持续性非卧床腹膜透析（CAPD）的患者进行了265次常规门诊随访，直至1990年12月，总观察时间为398.5个月。6例患者未发生腹膜炎。其余22例患者发生了43次腹膜炎。其中58%由表皮葡萄球菌引起。在腹膜炎发作患者的出口部位检查中，86%在最高9分的任意分级量表上得0至1分。从出口部位涂片进行细菌培养后，3例发现金黄色葡萄球菌。所有病例均得到充分治疗。这些病例中无一例因该细菌出现腹膜炎发作。在常规门诊就诊时出口部位的分级与腹膜炎发作之间未发现相关性。出口部位分级具有临床重要性，但无法预测腹膜炎的发生。
