Cho Yeoungjee, Struijk Dirk Gijsbert
Department of Nephrology, University of Queensland at Princess Alexandra Hospital, Brisbane, Australia.
Division of Nephrology, Department of Medicine, Academic Medical Center and Dianet, Amsterdam, The Netherlands.
Semin Nephrol. 2017 Jan;37(1):66-76. doi: 10.1016/j.semnephrol.2016.10.008.
Peritoneal dialysis (PD)-related peritonitis remains to be one of the most frequent and serious complications of PD. In this study, existing literature has been reviewed on PD peritonitis caused by atypical organisms and antibiotic resistant organisms and their impact on patient outcomes. Although uncommon, delay in recognition of PD peritonitis caused by atypical organisms can lead to poor patient outcomes if there is a delay in diagnosis and implementation of appropriate treatment. There is also a large difference in prevalence of antibiotic-resistant infections across the world with variable impact on reported patient-level outcomes.
腹膜透析（PD）相关腹膜炎仍然是PD最常见且最严重的并发症之一。在本研究中，我们回顾了关于由非典型病原体和抗生素耐药病原体引起的PD腹膜炎及其对患者预后影响的现有文献。虽然不常见，但如果非典型病原体引起的PD腹膜炎诊断和适当治疗实施延迟，会导致患者预后不良。全球抗生素耐药感染的患病率也有很大差异，对报告的患者层面结局有不同影响。
