RT Journal Article
T1 Two decades of analysis of peritonitis in peritoneal dialysis in Andalusia: Epidemiological, clinical, microbiological and progression aspects
A1 Pina, Veronica de la Espada
A1 Ganga, Pedro Luis Quiros
A1 Junquero, Jose Manuel Gil
A1 Fosalba, Nuria Areste
A1 Giron, Fernando Fernandez
A1 Huete, Maria Jose Espigares
A1 Ortega, Maria Pena
A1 Barrero, Gema Velasco
A1 Salazar, Antonio Moreno
A1 Martinez, Francisco Morales
A1 Guerrero, Maria Jose Marco
A1 de Mota, Elvira Esquivias
A1 Cabrero, Sagrario Soriano
A1 Rodriguez, Cesar Remon
K1 Peritonitis
K1 Epidemiology
K1 Causative germs
K1 Prognostic factors
K1 Fungal peritonitis
K1 Outcomes
K1 Experience
K1 Infections
K1 Update
K1 Rates
K1 Care
AB Background: This study focuses on the main complication associated with peritoneal dialysis, peritonitis. Its relevance derives from its high morbidity, the negative effect it has on the peritoneum as a dialysis membrane and its financial cost.Methods: Analytical, non-interventional, observational cohort study, whose main objective is the analysis of peritonitis in patients on peritoneal dialysis in Andalusia from 1 January 1999 to 31 December 2017, with a total of 2904 peritonitis cases. The database used is the Andalusian Autonomous Transplant Coordination Information System (SICATA).Objectives: To ascertain how the rate of peritonitis is evolving in our community, analyse descriptive data pertaining to patients and peritonitis, ascertain the course of these infectious complications and analyse the factors that influence these cases of peritonitis and their outcomes: germ, hospitalisation and date.Results: The rate of peritonitis decreased progressively during the study period, from 0.7 peritonitis per patient in 1999 to 0.33 at the end of the period. Most infections were treated on an outpatient basis (72.5%). The most common germs were Gram-positive (55.9%), including coagulase-negative staphylococci (28.1%). Most cases of peritonitis progressed to healing (77.8%). The factors that significantly influence the need for hospitalisation and peritonitis progression were the causative germ and associated exit site infection.Conclusions: In our population, the rate of peritonitis decreased progressively during the study period, meeting guideline recommendations. (C) 2020 Sociedad Espanola de Nefrologia. Published by Elsevier Espana, S.L.U.
PB Soc espanola nefrologia dr rafael matesanz
SN 0211-6995
YR 2021
FD 2021-07-01
LK https://hdl.handle.net/10668/24964
UL https://hdl.handle.net/10668/24964
LA en
DS RISalud
RD Apr 19, 2025