Treatment for Peritoneal Dialysis-Associated Peritonitis_West China Medical Journal

Authors：

TANG Yong , HU Qing

Department of Nephralogy, Suining Central Hospital, Suining Sichuan 629000, China;

Corresponding?author：

Keywords：

腹膜透析; 腹膜炎; 腎功能衰竭

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目的:探討腹膜透析相關性腹膜炎的治療。方法:回顧性分析的89例腹膜透析相關性腹膜炎患者,初期使用頭孢菌素和或氨基糖甙類抗生素治療,嚴重者使用頭孢唑林和頭孢他啶治療。結果:89例腹膜炎患者透析液培養陽性33例(37.1%),其中19例1～4d治愈(21.3%),56例4～14 d治愈(62.9%),復發11例(12.4%),2例因尿毒癥而全身衰竭死亡(2.2%)。結論:雖然腹膜透析相關性腹膜炎的發病率有降低趨勢,但其仍然是腹膜透析最常見并發癥之一,我們在強調對腹膜炎治療的同時,更要強調對腹膜炎的預防。

Citation： TANG Yong,HU Qing. Treatment for Peritoneal Dialysis-Associated Peritonitis. West China Medical Journal, 2009, 24(7): 1755-1757. doi: Copy

1.	PIRAINO B, BAILIE G R, BERNARDINI J, et al. Peritoneal dialysisrelated infections recommendations:2005 update.[J]. Perit Dial Int,2005,25(2):107-131.
2.	FRIED L F, BERNARDINI J, JOHNSTON J R, et al. Peritonitis influences mortality in peritoneal dialysis patients.[J]. J Am Soc Nephrol,1996,7(10):2176-2182.
3.	董捷. 關于2005年ISPD腹膜透析相關感染診治指南的幾點思考[J]. 中國血液凈化,2008,(03):117-119.
4.	郭群英, 陳林, 陽曉, 等. 腹膜透析相關感染性腹膜炎致病菌及菌譜變化-單個腹膜透析中心15年回顧分析[J]. 中華腎臟病雜志,2006,(12):719-724.
5.	MIGUEL A, GARCIARAMON R, PEREZCONTRERAS J, et al. Comorbidity and mortality in peritoneal dialysis:a comparative study of type 1 and 2 diabetes versus nondiabetic patients. Peritoneal dialysis and diabetes.[J]. Nephron,2002,90(3):290-296.
6.	黎偉, 廖蘊華, 薛超, 等. 腹膜透析相關性腹膜炎相關因素分析[J]. 廣東醫學,2007,(08):1292-1294.
7.	VENMANS L M, SLOOF M, HAK E, et al. Prediction of complicated urinary tract infections in patients with type 2 diabetes:a questionnaire study in primary care.[J]. Eur J Epidemiol,2007,22(1):49-54.
8.	GOLPER T A, BRIER M E, BUNKE M, et al. Risk factors for peritonitis in longterm peritoneal dialysis:the Network 9 peritonitis and catheter survival studies. Academic Subcommittee of the Steering Committee of the Network 9 Peritonitis and Catheter Survival Studies.[J]. Am J Kidney Dis,1996,28(3):428-436.
9.	SZETO C C, CHOW K M, KWAN B C, et al. Staphylococcus aureus peritonitis complicates peritoneal dialysis:review of 245 consecutive cases.[J]. Clin J Am Soc Nephrol,2007,2(2):245-251.
10.	林愛武. 腹膜透析患者腹膜炎的監測和預防[J]. 腎臟病與透析腎移植雜志,2008,(06):537-538.

1. PIRAINO B, BAILIE G R, BERNARDINI J, et al. Peritoneal dialysisrelated infections recommendations:2005 update.[J]. Perit Dial Int,2005,25(2):107-131.
2. FRIED L F, BERNARDINI J, JOHNSTON J R, et al. Peritonitis influences mortality in peritoneal dialysis patients.[J]. J Am Soc Nephrol,1996,7(10):2176-2182.
3. 董捷. 關于2005年ISPD腹膜透析相關感染診治指南的幾點思考[J]. 中國血液凈化,2008,(03):117-119.
4. 郭群英, 陳林, 陽曉, 等. 腹膜透析相關感染性腹膜炎致病菌及菌譜變化-單個腹膜透析中心15年回顧分析[J]. 中華腎臟病雜志,2006,(12):719-724.
5. MIGUEL A, GARCIARAMON R, PEREZCONTRERAS J, et al. Comorbidity and mortality in peritoneal dialysis:a comparative study of type 1 and 2 diabetes versus nondiabetic patients. Peritoneal dialysis and diabetes.[J]. Nephron,2002,90(3):290-296.
6. 黎偉, 廖蘊華, 薛超, 等. 腹膜透析相關性腹膜炎相關因素分析[J]. 廣東醫學,2007,(08):1292-1294.
7. VENMANS L M, SLOOF M, HAK E, et al. Prediction of complicated urinary tract infections in patients with type 2 diabetes:a questionnaire study in primary care.[J]. Eur J Epidemiol,2007,22(1):49-54.
8. GOLPER T A, BRIER M E, BUNKE M, et al. Risk factors for peritonitis in longterm peritoneal dialysis:the Network 9 peritonitis and catheter survival studies. Academic Subcommittee of the Steering Committee of the Network 9 Peritonitis and Catheter Survival Studies.[J]. Am J Kidney Dis,1996,28(3):428-436.
9. SZETO C C, CHOW K M, KWAN B C, et al. Staphylococcus aureus peritonitis complicates peritoneal dialysis:review of 245 consecutive cases.[J]. Clin J Am Soc Nephrol,2007,2(2):245-251.
10. 林愛武. 腹膜透析患者腹膜炎的監測和預防[J]. 腎臟病與透析腎移植雜志,2008,(06):537-538.

West China Medical Journal

Treatment for Peritoneal Dialysis-Associated Peritonitis

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