Mirza K, Elzouki A Y
Department of Pediatrics, Riyadh Medical Complex, Saudi Arabia.
Pediatr Nephrol. 1997 Jun;11(3):325-7. doi: 10.1007/s004670050286.
The clinical aspects of peritonitis and catheter infections were reviewed in 64 children on continuous ambulatory peritoneal dialysis living in Saudi Arabia over a period of 6 years. Peritonitis occurred in 41 children (64%). The mean time from starting dialysis to the first episode of peritonitis was 7.2 months. The incidence of peritonitis was 1 episode in 9 treatment months. Gram-negative organisms were responsible for the majority of episodes (42%), followed by Gram-positive organisms (20%), and Candida albicans (6%); 32% were culture negative. Recurrent peritonitis was present in 20 cases. Catheter was replaced in 24 patients: 44% due to recurrent peritonitis. Peritoneal membrane loss occurred in 7 patients, 3 had Candida peritonitis and 3 had recurrent peritonitis due to Pseudomonas. The mortality rate was 4.6% but none of the deaths were related to peritonitis or dialysis.
对沙特阿拉伯64名接受持续性非卧床腹膜透析的儿童进行了为期6年的随访，回顾了腹膜炎和导管感染的临床情况。41名儿童（64%）发生了腹膜炎。从开始透析到首次发生腹膜炎的平均时间为7.2个月。腹膜炎的发生率为每9个治疗月1次。革兰氏阴性菌是大多数感染（42%）的致病菌，其次是革兰氏阳性菌（20%）和白色念珠菌（6%）；32%的培养结果为阴性。20例患者出现复发性腹膜炎。24例患者更换了导管：44%是由于复发性腹膜炎。7例患者出现腹膜丢失，3例患有念珠菌性腹膜炎，3例因铜绿假单胞菌导致复发性腹膜炎。死亡率为4.6%，但无一例死亡与腹膜炎或透析相关。
