Warren Alpert Medical School, Brown University, Providence, RI, USA.
Health and Biomedical Library Services, Brown University, Providence, RI, USA.
Int Urol Nephrol. 2024 Feb;56(2):583-595. doi: 10.1007/s11255-023-03731-w. Epub 2023 Aug 10.
Peritonitis is a major cause of morbidity and technique failure in patients receiving peritoneal dialysis. Complicated peritonitis that manifests as multiple or unresolving episodes is classified as refractory, recurrent, relapsing, or repeat peritonitis, and often possesses higher risk of technique failure and mortality as well as lower complete cure rates than primary or uncomplicated episodes. While these peritonitis subtypes affect a considerable portion of PD patients, details regarding their epidemiology, pathogenesis, diagnosis, clinical sequelae, and management have not yet been fully elucidated. Improved clinical awareness and understanding of complicated peritonitis subtypes is crucial to ensure optimal management for these patients; thus, we consolidate and report the pertinent findings of recent literature on these four entities.
腹膜炎是腹膜透析患者发病率和技术失败的主要原因。表现为多次或未解决的发作的复杂腹膜炎被归类为难治性、复发性、复发或反复性腹膜炎，其技术失败和死亡率较高，完全治愈率低于原发性或非复杂性发作。尽管这些腹膜炎亚型影响了相当一部分 PD 患者，但它们的流行病学、发病机制、诊断、临床后果和管理的详细信息尚未完全阐明。提高对复杂腹膜炎亚型的临床认识和理解对于确保这些患者的最佳管理至关重要；因此，我们总结并报告了最近关于这四种实体的文献中的相关发现。
