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Trichosporon beigelii peritonitis associated with continuous ambulatory peritoneal dialysis
Lopes, Jorge O.;Alves, Sydney H.;Benevenga, Jeni P.;Rosa, Antonio C.;Gomez, Vera C.;
Revista do Instituto de Medicina Tropical de S?o Paulo , 1994, DOI: 10.1590/S0036-46651994000200005
Abstract: this paper reports a case of peritonitis caused by trichosporon beigelii in a woman submitted to continuous ambulatory peritoneal dialysis. diagnosis was established by direct examination and culture of dialysis effluent.
Peritonitis by Scedosporium apiospermum in a patient undergoing continuous ambulatory peritoneal dialysis
SEVERO, Luiz Carlos;OLIVEIRA, Flávio de Mattos;GARCIA, Clotilde Druck;UHLMANN, Anelise;LONDERO, Alberto Thomaz;
Revista do Instituto de Medicina Tropical de S?o Paulo , 1999, DOI: 10.1590/S0036-46651999000400012
Abstract: a case of peritonitis due to scedosporium apiospermum in a boy undergoing continuous ambulatory peritoneal dialysis is reported. the finding of suggestive tissual form of the fungus in the effluent hastened the diagnosis of the infection.
Peritonitis by Scedosporium apiospermum in a patient undergoing continuous ambulatory peritoneal dialysis  [cached]
SEVERO Luiz Carlos,OLIVEIRA Flávio de Mattos,GARCIA Clotilde Druck,UHLMANN Anelise
Revista do Instituto de Medicina Tropical de S?o Paulo , 1999,
Abstract: A case of peritonitis due to Scedosporium apiospermum in a boy undergoing continuous ambulatory peritoneal dialysis is reported. The finding of suggestive tissual form of the fungus in the effluent hastened the diagnosis of the infection.
Effect of glucose concentration on peritoneal inflammatory cytokines in continuous ambulatory peritoneal dialysis patients  [PDF]
Hayriye Sayarlioglu,Cevat Topal,Mehmet Sayarlioglu,Haluk Dulger,Ekrem Dogan,Reha Erkoc
Mediators of Inflammation , 2004, DOI: 10.1080/09679350410001688503
Abstract: OBJECTIVE: It is known that glucose concentrations of peritoneal dialysis solutions are detrimental to the peritoneal membrane. In order to determine the effect of glucose concentration on cytokine levels of peritoneal fluid of continuous ambulatory peritoneal dialysis (CAPD) patients, a cross-sectional study was performed.
Nocardia asteroides peritonitis during continuous ambulatory peritoneal dialysis
Lopes, Jorge O.;Alves, Sydney H.;Benevenga, Jeni P.;Salla, Adenilde;Tatsch, Ines;
Revista do Instituto de Medicina Tropical de S?o Paulo , 1993, DOI: 10.1590/S0036-46651993000400013
Abstract: this paper reports a case of peritonitis by nocardia asteroides during continuous ambulatory peritoneal dialysis in a man who had systemic lupus erythematous and chronic renal failure. diagnosis was established by microscopic examination (gram and kinyoun) and culture of centrifuged dialysis fluid and the patient was treated with trimethoprin-sulfamethoxazole by intraperitoneal route.
Peritonitis due to Geotrichum candidum in Continuous Ambulatory Peritoneal Dialysis  [PDF]
José Ramón Cacelín Garza, Rafael Sebastián Cacelín Miranda, Ana María Cacelín Garza, Alejandra Paula Espinoza Texis, Erick Guzmán Díaz, Ulises Salas Juárez
Case Reports in Clinical Medicine (CRCM) , 2018, DOI: 10.4236/crcm.2018.73021
Abstract: This paper is a report of a 34-year-old man with chronic renal failure undergoing Continuous Ambulatory Peritoneal Dialysis which developed peritonitis due to Geotricum candidum. The diagnosis was established by culture of dialysis fluid. The purpose of this report is to provide data on a fungal peritonitis due to a non-common agent.
Residual renal function and nutritional status in patients on continuous ambulatory peritoneal dialysis  [PDF]
Jovanovi? Nata?a,Lau?evi? Mirjana,Stojimirovi? Biljana
Medicinski Pregled , 2005, DOI: 10.2298/mpns0512576j
Abstract: Introduction During the last years, an increasing number of patients with end-stage renal failure caused by various underlying diseases, all over the world, is treated by renal replacement therapy. Nutritional status Malnutrition is often found in patients affected by renal failure; it is caused by reduced intake of nutritional substances due to anorexia and dietary restrictions hormonal and metabolic disorders, comorbid conditions and loss of proteins, amino-acids, and vitamins during the dialysis procedure itself. Nutritional status significantly affects the outcome of patients on chronic dialysis treatment. Recent epiodemiological trials have proved that survival on chronic continuous ambulatory peritoneal dialysis program depends more on residual renal function (RRF) than on peritoneal clearances of urea and creatinine. Material and methods The aim of the study was to analyze the influence of RRF on common biochemical and anthropometric markers of nutrition in 32 patients with end-stage renal failure with various underlying diseases during the first 6 months on continuous ambulatory peritoneal dialysis (CAPD). The mean residual creatinine clearance was 8,3 ml/min and the mean RRF was 16,24 week in our patients at the beginning of the chronic peritoneal dialysis treatment. Results and conclusion During the follow-up, the RRF slightly decreased, while the nutritional status of patients significantly improved. Gender and age, as well as the leading disease and peritonitis didn't influence the RRF during the first 6 months of CAPD treatment. We found several positive correlations between RRF and laboratory and anthropometric markers of nutrition during the follow-up, proving the positive influence of RRF on nutritional status of patients on chronic peritoneal dialysis.
A survey of peritonitis of our continuous ambulatory peritoneal dialysis patients  [PDF]
Rengin Elsurer,Baris Afsar,Siren Sezer,Nurhan Fatma ?zdemir
Medical Journal of Bakirk?y , 2008,
Abstract: Objective: Ever since the introduction of peritoneal dialysis in the management of renal failure, complications related to technique, particularly peritonitis, have restricted its wider use and acceptance in continuous ambulatory peritoneal dialysis (CAPD) patients. In this study, we aimed to determine the frequency, most common causative agents and risk factors for peritonitis among our CAPD patients. Material and Methods: We included 132 CAPD patients (63 M, 69 F; age: 40.41±14.17 years, CAPD duration: 38.27±18.60 months) followed-up in our peritoneal dialysis center between January 1996-December 2003. Peritonitis was defined as the presence of organisms on gram stain or culture of peritoneal dialysis uid, leukocytes greater than 100 cells/mm3, neutrophil count >50% of the dialysate or symptoms of peritoneal in ammation. The patients were divided into three groups according to the number of peritonitis attacks; Group I= No attacks of peritonitis; Group II= 1 attack of peritonitis; Group III= ≥2 attacks of peritonitis. The patients in Group III were further evaluated for the presence of underlying risk factors for the development of peritoneal infection. Results: We observed no attacks in 74 patients, 1 attack in 42 patients and ≥2 attacks in 16 patients. Mean number of attacks was 2.31±0.47. The major causative microorganisms of peritonitis in our CAPD patients were Staphylococcus aureus and Staphylococcus epidermidis. The further evaluation of the patients with ≥2 attacks revealed that concomitant diabetes mellitus, secondary organ tuberculosis, and amyloidosis came forward as underlying risk factors for repeated peritonitis. Conclusions: Concomitant diabetes mellitus, secondary organ tuberculosis, and amyloidosis were risk factors in CAPD patients with repeated episodes of peritonitis. Our results emphasize that in patients with repeated attacks; patients’ risk factors must be carefully evaluated, (if possible) eliminated, and appropriately treated.
The Effects of Pentoxifylline on Peritoneal Functions and Cytokine Levels in Patients Followed with Continuous Ambulatory Peritoneal Dialysis
??nk?r Ye?il, Havva,Payda?, Saime,??nk?r, ümit
The Turkish Nephrology, Dialysis and Transplantation Journal , 2013, DOI: 10.5262/tndt.2013.1002.02
Abstract: OBJECTIVE: Continuous Ambulatory Peritoneal Dialysis is more frequently used as renal replacement therapy for end stage renal failure patients. The aim of this study was to evaluate the effects of pentoxifylline on cytokines and permeability of peritoneum in continuous ambulatory peritoneal dialysis patients.MATERIAL and METHODS: 21 patients with peritoneal dialysis followed at ukurova University Department of Nephrology were included. Pentoxifylline was given 2x400 mg daily for three weeks in addition to the standard therapy. All of the patient characteristics such as age, sex, accompanied disease, duration of peritoneal dialysis, edema, body weight, drugs were recorded. Peritoneal equilibration test was done before and after pentoxifylline therapy. Kt/Vurea and creatinine clearance were calculated. Peritoneal transport type, ultrafiltrate and urine volumes and peritoneal sodium excretion were determined.RESULTS: There was no difference for the Kt/Vurea, creatinine clearence, the serum and peritoneal dialysate levels of BUN, creatinine, sodium, albumin, IL-1, IL-6, IL-10, TNF-alpha, beta-2 microglobulin between baseline and after the pentoxifylline therapy. Additionally, there was no difference for measured parameters in diabetic and nondiabetic groups. Relationships between peritoneal sodium excretion and Kt/Vurea, ultrafiltration and sum of urine volume+ultrafiltrate were not found. There was a statistically significant negative correlation between serum albumin and serum IL-10 levels at baseline and after pentoxifylline therapy (p; 0,049).CONCLUSION: Pentoxifylline was not found to be effective in peritoneal permeability. This may be related to the short duration of pentoxifylline therapy and/or the relatively small number of the patients.
The risk factors and outcome of fungal peritonitis in continuous ambulatory peritoneal dialysis patients  [cached]
Indhumathi E,Chandrasekaran V,Jagadeswaran D,Varadarajan M
Indian Journal of Medical Microbiology , 2009,
Abstract: Aim: To determine the risk factors and outcome of fungal peritonitis in continuous ambulatory peritoneal dialysis (CAPD) patients over a 7-year period. Patients and Methods: This retrospective study was conducted on 30 cases of fungal peritonitis in CAPD patients during a 7-year period (2000-2007). The diagnosis was based on elevated CAPD effluent count and isolation of fungi. Patients were evaluated for previous episode of bacterial peritonitis. Results: The incidence of fungal peritonitis was 16.2%. Age varied between 8 and 75 years, with a mean age of 57 years. Twenty-three were males (76.7%) and seven were females (23.3%). Seventeen patients (56.6%) had previous episodes of bacterial peritonitis that was treated with multiple antibiotics. The common fungus was Candida species (50%). CAPD catheter removal and initiation of antifungal therapy was done for all patients. Reinsertion was done for three (10%) patients. Mortality rate was 20%. Conclusion: Patients with previous bacterial peritonitis and antibiotic usage are at greater risk of developing fungal peritonitis.
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