Pathogens of peritoneal dialysis peritonitis: Trends from a single-center experience over 15 years
DC Field | Value | Language |
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dc.contributor.author | Hwang, Tae Yeon | - |
dc.contributor.author | Kim, Myung Gyu | - |
dc.contributor.author | Oh, Se Won | - |
dc.contributor.author | Jo, Sang-Kyung | - |
dc.contributor.author | Cho, Won-Yong | - |
dc.contributor.author | Yang, Jihyun | - |
dc.date.accessioned | 2021-08-30T21:33:44Z | - |
dc.date.available | 2021-08-30T21:33:44Z | - |
dc.date.created | 2021-06-19 | - |
dc.date.issued | 2020-06 | - |
dc.identifier.issn | 2211-9132 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/55103 | - |
dc.description.abstract | Background: Concerns are increasing about the emergence of pathogens with antibiotic resistance in peritoneal dialysis (PD) peritonitis. We investigated the current pathogen trends and risk factors in PD peritonitis. Methods: We conducted a retrospective study analyzing data from 643 patients who maintained PD over 3 months between January 2001 and December 2015. The isolated pathogens from PD peritonitis were compared between period A (2001-2008) and period B (2009-2015). Results: Among 643 PD patients, 252 patients experienced one or more episodes of PD peritonitis (total 308 episodes) during the median follow-up of 66 months. In both periods, gram-positive bacteria were the dominant pathogens (22.2% vs. 53.8%, P < 0.01). Gram-negative bacteria showed an increasing tendency in period B, but without statistical significance (17.0% vs. 23.7%, P = 0.15). The culture-negative rate was improved from 57% in period A to 18% in period B (P < 0.01). There was no increase in the prevalence of resistant pathogens such as methicillin-resistant Staphylococcus epidermidis (MRSE), Staphylococcus aureus (MRSA) and extended-spectrum beta-lactamase (ESBL)-producing Escherichia coil between periods A and B. Preserved residual renal function was associated with a lower risk of PD peritonitis (odds ratio, 0.53; 95% confidence interval, 0.31-0.88; P = 0.01). Conclusion: Over the past two decades, the pathogens of PD peritonitis have not significantly changed in Korea. Gram-positive organisms remained dominant, with S. epidermidis being the most common pathogen. Resistant bacteria such as MRSE, MRSA, ESBL-producing Gram-negative bacilli did not increase, but should be monitored. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | KOREAN SOC NEPHROLOGY | - |
dc.subject | EPIDEMIOLOGY | - |
dc.subject | OUTCOMES | - |
dc.subject | RATES | - |
dc.title | Pathogens of peritoneal dialysis peritonitis: Trends from a single-center experience over 15 years | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Kim, Myung Gyu | - |
dc.contributor.affiliatedAuthor | Oh, Se Won | - |
dc.contributor.affiliatedAuthor | Cho, Won-Yong | - |
dc.identifier.doi | 10.23876/j.krcp.19.035 | - |
dc.identifier.scopusid | 2-s2.0-85086858296 | - |
dc.identifier.wosid | 000554033000013 | - |
dc.identifier.bibliographicCitation | KIDNEY RESEARCH AND CLINICAL PRACTICE, v.39, no.2, pp.221 - 227 | - |
dc.relation.isPartOf | KIDNEY RESEARCH AND CLINICAL PRACTICE | - |
dc.citation.title | KIDNEY RESEARCH AND CLINICAL PRACTICE | - |
dc.citation.volume | 39 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 221 | - |
dc.citation.endPage | 227 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.identifier.kciid | ART002602790 | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.description.journalRegisteredClass | kci | - |
dc.relation.journalResearchArea | Urology & Nephrology | - |
dc.relation.journalWebOfScienceCategory | Urology & Nephrology | - |
dc.subject.keywordPlus | EPIDEMIOLOGY | - |
dc.subject.keywordPlus | OUTCOMES | - |
dc.subject.keywordPlus | RATES | - |
dc.subject.keywordAuthor | Mortality | - |
dc.subject.keywordAuthor | Pathogen | - |
dc.subject.keywordAuthor | Peritoneal dialysis | - |
dc.subject.keywordAuthor | Peritonitis | - |
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