Jovanović D, Nesić V, Dimitrijević Z, Naumović R, Djukanović Lj
Clinical of Nephrology, Clinical Centre of Serbia, Belgrade.
Srp Arh Celok Lek. 1996;124 Suppl 1:147-8.
We analysed 27 patients (15 women and 12 men) on CAPD treatment longer than 6 months at the Clinic of Nephrology, CCS, in Belgrade. Pts were between 22 and 72 years old (57.77 +/- 12.21 years). These pts had 47 episodes of peritonitis: 6 pts (22.22%) were without peritonitis, but 21 pts (78.22%) had between 1 and 5 episodes of peritonitis. We found 1 peritonitis /pts/year. Causes of peritonitis were mostly unknown (27/47) because treatment had began before taking culture of the peritoneal dyalisate. The most common causes of peritonitis were coagulase negative staphylococci: Staphylococcus aureus (8) and Staphylococci epidermidis (8). Laboratory showed: leucocytosis, hyperfibrinogenaemia, hypoproteinaemia and accelerated ESR. There was no connection between causes of chronic renal failure and frequency or peritonitis. During treatment of peritonitis in 2 pts we had to replace the peritoneal catheter and 5 pts went on haemodialyses. The other were recovered and continued CAPD treatment.
我们对贝尔格莱德临床中心肾病科接受持续性非卧床腹膜透析（CAPD）治疗超过6个月的27例患者（15名女性和12名男性）进行了分析。患者年龄在22至72岁之间（平均57.77±12.21岁）。这些患者共发生47次腹膜炎：6例患者（22.22%）未发生腹膜炎，但21例患者（78.22%）发生了1至5次腹膜炎。我们发现腹膜炎发生率为1次/患者/年。腹膜炎的病因大多不明（27/47），因为在采集腹膜透析液培养标本之前治疗就已开始。腹膜炎最常见的病因是凝固酶阴性葡萄球菌：金黄色葡萄球菌（8例）和表皮葡萄球菌（8例）。实验室检查显示：白细胞增多、纤维蛋白原血症、低蛋白血症以及血沉加快。慢性肾衰竭的病因与腹膜炎的发生频率之间没有关联。在腹膜炎治疗过程中，2例患者不得不更换腹膜导管，5例患者转为血液透析。其他患者康复后继续进行CAPD治疗。
