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頁籤選單縮合
| 題 名 | Clinical Characteristics of Culture-Positive Exit-Site Infections in Peritoneal Dialysis Patients=腹膜透析病人導管出口感染之臨床特徵 |
|---|---|
| 作 者 | 郭健群; 廖上智; 陳靖博; | 書刊名 | 臺灣腎臟醫學會雜誌 |
| 卷 期 | 24:3 2010.09[民99.09] |
| 頁 次 | 頁151-156+184 |
| 分類號 | 415.816 |
| 關鍵詞 | 導管出口感染; 腹膜透析; 導管移除; Exit-site infection; Peritoneal dialysis; Catheter removal; |
| 語 文 | 英文(English) |
| 英文摘要 | Background: The course of exit-site infections (ESI) is variable in peritoneal dialysis (PD) patients. There have been only a few investigations regarding the clinical characteristics of ESI. This study aims to review the clinical characteristics of ESI among PD patients and to identify the prognostic factors. Methods: We trospectively reviewed our PD patients from January 1995 to June 2008 to describe and investigate the clinical courses, presumed causes, antimicrobial agents, organisms involved, and outcomes of ESI episodes. Results: A total 212 ESI episodes were identified. The majority of patients (57%) had one episode of ESI. ESI developed most frequently in the first 3 years after the initiation of PD. Showering and improper traction of the PD catheter were the most common presumed causes of ESI. The mean duration of antibiotic treatment was 15.9 days (range: 4-127 days). For treatment, 132 ESI episodes (62.3%) required only one type of antibiotics, while 80 other ESI episodes needed more than one type of antibiotic s. Gram-positive rganisms caused 193 episodes (80.4%); and gram-negative ones, 45 episodes (18.8%). Staphylococcus aureus was the most common pathogen among gram-positive organisms, while Pseudomonas aeruginosa was the most common among gram-negative organisms. Recurrent ESI occurred in 50 patients with 97 ESI episodes. Antibiotic therapy cured completely 197 episodes. Among these, 6 episodes received combined antibiotic therapy and externalized outer cuff management. In 5 patients with recurrent ESI episodes required removal of PD catheter. The reasons for PD atheter removal included failed ESI treatment (4/5) and peritonitis (1/5). Conclusions: Most ESI episodes in chronic PD patients developed in the early years after the initiation of PD. S. aureus was the most common pathogen. Most ESI episodes eached a complete resolution, and episodes leading to catheter removal were rare. Recurrent ESI was a precipitating factor for catheter removal. |
本系統中英文摘要資訊取自各篇刊載內容。