查詢結果分析
相關文獻
- Risk Factors Analysis in Peritoneal Dialysis-Related Peritonitis
- 腹膜透析併發再發性腹膜炎
- Peritonitis in Patients on Continuous Ambulatory Peritoneal Dialysis
- 連續性可活動式腹膜透析患者腹膜發炎發生率改善之方案
- Penicillium Peritonitis Associated with Continuous Ambulatory Peritoneal Dialysis: A Rare Complication of CAPD
- 腹膜透析引起之細菌性腹膜炎併發腹腔內膿瘍
- Outcome Following CAPD-Associated Gram-Negative Peritonitis
- 硬化包覆性腹膜炎:兩病例報告
- Fungal Peritonitis in Patients on Continuous Ambulatory Peritoneal Dialysis
- 腹膜透析患者麴菌腹膜炎的診斷、治療和預後:病例報告及文獻回顧
頁籤選單縮合
題名 | Risk Factors Analysis in Peritoneal Dialysis-Related Peritonitis=腹膜透析相關之腹膜炎的危險因子分析 |
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作者 | 賴宇軒; 蔡任弼; 沈祖望; 王智賢; 徐邦治; 方德昭; | 書刊名 | 臺灣腎臟醫學會雜誌 |
卷期 | 24:3 2010.09[民99.09] |
頁次 | 頁138-144+182 |
分類號 | 415.816 |
關鍵詞 | 末期腎臟衰竭; 腹膜透析; 腹膜炎; End-stage renal failure; Peritoneal dialysis; Peritonitis; |
語文 | 英文(English) |
英文摘要 | Objectives: To determine the independent risk factor(s) of treatment failure (either catheter removal or death) in PD-related peritonitis. Methods: Seventy-five end-stage renal disease patients on long-term PD and with episodes of peritonitis from 1997 to 2006 were recruited. Both baseline characteristics and initial clinical manifestations of PD-related peritonitis with treatment success and treatment failure were analyzed. Treatment success of PD-related peritonitis meant recovery from peritonitis while treatment failure was defined as either death of the patient owing to peritonitis or catheter removal with a shift to hemodialysis. Results: There were 46 episodes of PD-related peritonitis during the 10-year study period. The most common organism causing PD-related peritonitis was Gram-positive (34.7%). The percentage of culture-negative was 19.6%. The treatment failure for PD-related peritonitis totaled 30.5% (14/46), including 6.5% (3/46) mortality and 24% (11/46) catheter removal. Treatment failure was significantly associated with higher blood neutrophil count (p = 0.045) and dialysate culture with fungi, Mycobacterial species, polymicrobial organisms and Pseudomonas species (FMPP) (p < 0.001). Multivariate logistic regression analysis showed that treatment failure was significantly associated with blood neutrophil count (log-transformed) (adjusted odds ratio = 216, p = 0.018) and specific organisms FMPP (adjusted odds ratio = 40.6, p = 0.001). Conclusion: Blood neutrophil count and dialysate culture with specific organisms FMPP were independent risk factors for treatment failure in PD patients with peritonitis. |
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