Successful Treatment of Peritoneal Dialysis Catheter-RelatedChryseobacterium indologenesPeritonitis Without Catheter Removal

2016 ◽  
Vol 1 (1) ◽  
pp. 16-18
Author(s):  
Sevil Uygun Ilikhan ◽  
Muammer Bilici ◽  
Basak Delikanli ◽  
Ayse Semra Demir Akca ◽  
Birsen Unal Koyuncu ◽  
...  
2015 ◽  
Vol 53 (12) ◽  
pp. 3945-3946 ◽  
Author(s):  
Sheena Bharti ◽  
Prashant Malhotra ◽  
Stefan Juretschko

Clostridium difficileis one of the most common nosocomial pathogens and the cause of pseudomembranous colitis in cases of prior antimicrobial exposure. Extraintestinal manifestations ofC. difficileare uncommon and rarely reported. We report the first successfully treated case of catheter-relatedC. difficileperitonitis in a patient undergoing peritoneal dialysis.


2010 ◽  
Vol 30 (5) ◽  
pp. 570-572 ◽  
Author(s):  
Arzu Kahveci ◽  
Elif Ari ◽  
Ebru Asicioglu ◽  
Hakki Arikan ◽  
Serhan Tuglular ◽  
...  

1984 ◽  
Vol 4 (3) ◽  
pp. 156-157 ◽  
Author(s):  
Sharon P. Andreoli ◽  
Karen W. West Jay ◽  
L. Grosfeld ◽  
Jerry M. Bergstein

In two adolescents maintained on CAPD, infections of the peritoneal catheter tunnel were treated by an “unroofing” technique. The infections were eradicated without catheter removal or interruption of CAPD. Continuous ambulatory peritoneal dialysis (CAPD) has produced a dramatic improvement in the care of patients with end-stage renal disease. Peritonitis remains a major complication and the most common cause of CAPD failure (1–3). Most episodes of peritonitis can be attributed to a break in the technique of bag exchanges; however, tunnel infections are also implicated (3,4). Tunnel infections are difficult to cure and, if persistent, may make necessary the removal of an otherwise well functioning catheter. We describe two patients with tunnel infections that were eradicated after “unroofing” of the Tenckhoff catheter.


2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Ahmed Kamel Abdel Aal ◽  
Khalid Mahmoud ◽  
Amr Soliman Moustafa ◽  
Noha Alaaeldin Aboueldahab ◽  
Anas Souid ◽  
...  

The aim of this study is to compare the outcomes of the elective-start versus urgent-start use of peritoneal dialysis (PD) catheters using percutaneous radiologic or laparoscopic techniques. Patients having their first peritoneal dialysis catheter placed and used between January 2005 and January 2018 were identified, and their medical records were retrospectively reviewed. Two groups were identified: elective-start (n = 211) and urgent-start (n = 29). Patient’s demographics were similar between the two groups with the exception of age, which was higher in the elective-start group. The catheter complication rates and catheter removal rates at 3 and 12 months, mean days-to-first complication, mean days-to-catheter removal, and overall patient survival at 12 months were analyzed. Catheter complication rates at 3 and 12 months were similar between the two groups (27.8% and 48.9%, respectively, in the elective-start group versus 35.9% and 54.2%, respectively, in the urgent-start group, p=0.415). The catheter removal rates at 3 and 12 months were also similar between the two groups (p=0.088). Catheter leak was higher in the urgent-start group (13.8% versus 3.3%, respectively, p=0.011). There was no difference between the elective-start and the urgent-start groups in the mean days-to-first complication (95 vs 69, p=0.086), mean days-to-catheter removal (145 vs 127, p=0.757), and overall patient survival at 12 months (100% vs 97%, p=0.41). In conclusion, apart from catheter leak, there were similar rates of catheter complication and removal for PD catheter used for the elective-start compared to the urgent-start PD. Furthermore, the technique of placement did not affect the outcomes.


2015 ◽  
Vol 30 (suppl_3) ◽  
pp. iii549-iii549
Author(s):  
Andrey Yankovoy ◽  
Sinutin Alexandr ◽  
Vadim Stepanov ◽  
Victor Grankin

2019 ◽  
Vol 20 (1_suppl) ◽  
pp. 60-64 ◽  
Author(s):  
Jia Rui Kwan ◽  
Tze Tec Chong ◽  
Gerard ZX Low ◽  
Gabriel WT Low ◽  
Htay Htay ◽  
...  

Introduction: Long-term use of peritoneal dialysis catheter is associated with complications such as infection and malfunction, necessitating removal of catheter with subsequent reinsertion or permanent transfer to haemodialysis. This study aims to investigate the outcome in patients who underwent reinsertion. Methods and materials: A single-centre retrospective study was performed in Singapore General Hospital for all adult incident peritoneal dialysis patients between January 2011 and January 2016. Study data were retrieved from patient electronic medical records up till 1 January 2017. Results: A total of 470 patients had peritoneal dialysis catheter insertion with median follow-up period of 29.2 (interquartile range = 16.7–49.7) months. A total of 92 patients required catheter removal. Thirty-six (39%) patients underwent catheter reinsertion. The overall technique survival at 3 and 12 months were 83% and 67%. Median time to technique failure of the second catheter was 6.74 (interquartile range = 0–50.2) months. The mean survival for patients who converted to haemodialysis and re-attempted peritoneal dialysis was comparable (54.9 ± 5.5 vs 57.3 ± 3.6 months; p = 0.75). Twelve (13%) patients had contraindication for peritoneal dialysis and were excluded from analysis. Of 11 patients who required catheter removal due to malfunction, 7 (64%) underwent catheter reinsertion and 6 (86%) patients ultimately converted to haemodialysis during study period. Of the 69 patients who had catheter removal due to infection, 29 (42%) underwent catheter reinsertion and 8 (28%) patients eventually converted to haemodialysis during the study period. Conclusion: Patient survival was comparable between patients who re-attempted peritoneal dialysis and patients who transferred to haemodialysis. Patients who had previous catheter removal due to infections had favourable technique survival than those due to catheter malfunction.


2020 ◽  
pp. 112972982093821
Author(s):  
Mohammad Matinfar ◽  
Shahram Taheri ◽  
Shirin Karimi ◽  
Farkhondeh Naseri ◽  
Shiva Seirafian

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