查詢結果分析
來源資料
相關文獻
- 青黴菌造成之腹膜透析管阻塞--淺談腹膜透析患者之黴菌性腹膜炎
- Clinical Features of and Risk Factors for Fungal Peritonitis in Peritoneal Dialysis Patients
- Risk Factors of Developing Subsequent Fungal Peritonitis in Patients with Peritoneal Dialysis--Related Bacterial Peritonitis
- 腹膜透析併發再發性腹膜炎
- 連續可活動性腹膜透析自我效力量表之建立與測試
- 腹膜透析處方之臨床實用準則
- 腹膜透析處方之臨床實用準則
- 腹膜透析處方之臨床實用準則
- 腹膜透析處方之臨床實用準則
- 腹膜透析病患脫水不良之護理處置
頁籤選單縮合
題 名 | Clinical Features of and Risk Factors for Fungal Peritonitis in Peritoneal Dialysis Patients=腹膜透析病患黴菌性腹膜炎的臨床表現與危險因子 |
---|---|
作 者 | 黃政文; 洪冠予; 吳寬墩; 彭渝森; 蔡敦仁; 謝博生; | 書刊名 | 臺灣醫學會雜誌 |
卷 期 | 99:7 2000.07[民89.07] |
頁 次 | 頁544-548 |
分類號 | 415.57 |
關鍵詞 | 腹膜透析; 黴菌性腹膜炎; Fungal peritonitis; Peritoneal dialysis; Risk factor; |
語 文 | 英文(English) |
英文摘要 | Background and purpose: Fungal peritonitis (FP) is a serious complication for peritoneal dialysis (PD) patients and can result in technical failure and mortality. Catheter removal remains the mainstay of treatment. This study sought to identify the risk factors for FP in order to facilitate the prevention of this catastrophic complication. Methods: A total of 246 patients who received long-term PD from 1985 to 1998 were included in this retrospective study. Twenty episodes of FP occurred in 19 patients. The clinical characteristics, pathogens, treatment modalities, and outcomes of the FP episodes were retrospectively reviewed. The FP incidence in various demographic and clinical groups, classified according to sex, age, education, and underlying cause of uremia, were compared with the Poisson test. Results: Thirteen episodes of FP were caused by yeast, and the remaining episodes were caused by Aspergillus spp. Age, sex, and education did not affect the FP incidence. Lupus patients (969 patient-months) had a higher incidence of FP than patients with other underlying diseases (p < 0.05). The 19 FP patients also had a higher incidence of bacterial peritonitis than other PD patients (p < 0.01). Among the 20 FP episodes, 14 (70%) were preceded by antibiotic use, and eight (40%) developed during hospitalization. Steroids were used at the time of FP in five of six lupus patients. Seven patients (37%) died within 1 month after diagnosis of FP. Five patients were able to remain on PD after FP, but only three patients were able to maintain catheter placement. Conclusion: The risk factors for FP identified in this study include the use of antibiotics and steroids, underlying lupus, frequent occurrence of bacterial peritonitis, and hospitalization. Antifungal therapy may allow the catheter to be kept in place in a few patients, but catheter removal should be considered in patients whose FP is refractory to medical treatment. |
本系統中英文摘要資訊取自各篇刊載內容。