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題 名 | Outcome Following CAPD-Associated Gram-Negative Peritonitis=腹膜透析併發格蘭氏陰性菌腹膜炎之預後分析 |
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作 者 | 陳嘉聖; 鍾錫裕; 余文良; 高銘聰; | 書刊名 | 臺灣腎臟醫學會雜誌 |
卷 期 | 15:2 2001.06[民90.06] |
頁 次 | 頁66-70+91 |
分類號 | 415.816 |
關鍵詞 | 腹膜透析; 格蘭氏陰性菌腹膜炎; 預後; Continuous ambulatory peritoneal dialysis; Gram-negative peritonitis; Outcome; |
語 文 | 英文(English) |
中文摘要 | 背景:腹膜炎一直是腹膜透析病人中止腹膜透析最重要的原因。其中格欄氏陰性菌腹膜炎透析所致腹膜炎常見的致病菌,然而格蘭氏陰性菌所引起的腹膜炎預後較差,但幾乎沒有研究比較不同格蘭氏陰性菌的以預後,這篇研究是評估大腸桿菌、克雷氏菌、綠膿桿面、以及腸桿菌等引起之腹膜炎的病率及亡亡率。方法:我們在單一透析中心,以品溯分析法,從1998年1月1日到2000年1月31,共有120個腹膜透析病人曾患有腹膜炎,腹膜炎次數共220次(有人再發數次),其中45次是由格欄氏陰氏性菌所致。存活率的分析是以腹膜炎發生時間到死亡時間,並統計由發生腹膜炎到拔除腹膜透析導管以及改由液透析的時間。此外,基本資料,有無住院、實驗數據,感染型態(第一感染、復發、再感染),給藥途徑,一一紀錄及分析。結果:關於此4種細菌造成之腹膜炎在各個病人的年齡、性別、有無糖尿病、有無住院、血液培養的陽性率、感染型態、給藥途徑等。皆無明顯差別,唯一有意義的差別數據是血清白蛋白在大腸桿菌感染那一組,較其他三組為高(p<0.05),在死亡時間、拔管時間,轉為血液透析時間,此4組並無統計學上的意義。結論:我們給此研究下的結論是:常見這4種格蘭氏陰性菌所造成的腹膜炎分析相關腹膜炎並無明顯差異,當然,我們希望再多收集病歷,增加我們的統計樣本來更進一步確認此項結論。 |
英文摘要 | Peritonitis remains the leading cause of patient dropout from peritoneal dialysis therapy. Gram-positive [G(+)] bacteria predominate among the pathogens causing continuous ambulatory peritoneal dialysis (CAPD)-associated peritonitis. Gram-negative [G(-)] peritonitis has a poor outcome. Few studies have compared the outcomes for different kinds of G (-) peritonitis in patients undergoing CAPD. This study compared morbidity, mortality and outcomes for peritonitis caused by common G (-) bacilli, including Escherichia coli (E.coli), Klebsiella pneumoniae (K. pneumoniae), Pseudomonas aeruginosa (P. aeruginosa), and Enterobacter spp. A retrospective review study was designed for a single regional dialysis unit in a medical center. Between January 1, 1998 and December 31,2000, a total of 220 episodes of CAPD-associated peritonitis were recorded in 120 patients, with 45 of these episodes caused by G (-) organisms. Survival analysis was performed for time to (1) death, (2) removal of the peritoneal dialysis catheter and (3) changing to hemodialysis. Demographic data, hospital admission, laboratory values, infection type and route of antibiotic administration were also recorded and analyzed. There were no differences in age, sex, diabetes mellitus (DM), hospital admission, positive blood cultures, infection type or the antibiotic administration route among the four etiologic groups. Of note, serum albumin was higher in the E. coli group than in the other groups (p<0.05). No differences in time to death, removal of the peritoneal dialysis catheter, or change to hemodialysis were demonstrated among the four groups (p=0.48). Results indicate that the outcomes for peritonitis caused by E. coli, K. pneumoniae, P. aeruginosa and Enterobacter spp do not differ significantly. Further observations and an increased sample size may confirm this finding. |
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