Journal Watch - Peritonitis

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  1. Antibiotics Before Colonoscopy May Reduce Peritonitis Risk in PD Patients

    In a retrospective study of 236 CAPD patients who had colonoscopies, 9 developed peritonitis within a week of the procedure. No patient who received prophylactic antibiotics developed peritonitis. Randomized controlled trials are recommended.

    Read the abstract » | (added 11/16/2019)

    Tags: Capd, Colonoscopy, Peritonitis, Prophylactic Antibiotics, Polypectomy, Endoscopic Mucosal Resection

  2. Proton Pump Inhibitors Increase Peritonitis Risk in PD

    In a single-center, 36-month retrospective look at 230 Japanese PD patients, those who took PPIs were 72% more likely to develop peritonitis than those who did not.

    Read the abstract » | (added 11/16/2019)

    Tags: Pd, Pp Is, Peritonitis, Proton Pump Inhibitors

  3. PD Fluid Overload Linked with Peritonitis from Gut Pathogens

    PD patients with extra fluid in their bodies are at a significantly higher risk for peritonitis due to gut bacteria, finds a study of 138 patients. Patients in the highest third for intra-and extracellular water were at the highest risk.

    Read the abstract » | (added 05/15/2019)

    Tags: Body Composition, Overhydration, Peritoneal Dialysis, Peritonitis

  4. Cognitive Impairment Predicts PD Peritonitis

    A prospective cohort study assigned 458 PD patients to a cognitively impaired (CI) or non-CI group based on results of mental state testing. The groups were not otherwise significantly different. Over 31.4 (median) months, 94 patients had first-time peritonitis, and short-term memory losses were independently linked with a higher risk.

    Read the abstract » | (added 04/11/2019)

    Tags: Cognitive Impairment, Mental State, Peritonitis

  5. To Screen or Not to Screen PD Patients for Bacteria: That is the Question

    Does the ISPD guideline for routine use of mupirocin ointment at PD exit sites risk creating mupirocin-resistant organisms? No, finds a surveillance study of 1,175 swabs from 240 patients.

    Read the abstract » | (added 02/14/2019)

    Tags: Mupirocin, Pd, Catheter, Peritonitis, Pseudomonas, Hygiene

  6. Peritonitis Symptoms in Older vs. Younger People

    A single center study compared the time to first episode of peritonitis treated successfully with antibiotics in PD patients >65 (n=79)compared to those who were younger (n=168). Of 377 peritonitis episodes, 126 were in the older group and 251 in the younger group. Older patients were less likely to have fever or cloudy dialysate as symptoms than younger patients, but rates of transfer to hemodialysis, relapse, hospitalization, and mortality were similar. Read the abstract.

    Read the abstract » | (added 10/12/2018)

    Tags: Peritonitis, Outcomes Of Peritonitis, Elderly Pd, Patient Pd

  7. Biocompatible PD Solutions Maintain Membranes Longer

    Independently of inflammation, biocompatible PD solutions helped 71 patients keep a steady level of solute transport over 7.5 years, compared to 295 patients who used standard solutions. Read the abstract.

    Read the abstract » | (added 09/10/2018)

    Tags: Dialysis Solutions, Glucans, Glucose, Il6 Protein, Human, Inflammation, Interleukin 6, Peritoneal Fibrosis, Peritoneum, Peritonitis, Creatinine, Hospitalization, Icodextrin, Peritoneal Dialysis, Peritoneal Membrane

  8. 5-year study: Predialysis PD Education Saves Lives on PD

    Among 398 patients who started PD from 2007-2016, 169 had received predialysis education. After 5 years, this group had a significantly lower rate of peritonitis, a longer median time to a first peritonitis episode, and less risk of death from peritonitis than patients who did not get CKD education. Read the abstract.

    Read the abstract » | (added 09/10/2018)

    Tags: Pd, Predialysis, Peritonitis, Mortality, Ckd Education

  9. Color of Used PD Dialysate Gives Diagnostic Clues

    A review article proposes a differential diagnosis of various conditions based on a change in the color of PD effluent from clear to red, orange, cloudy, milky white, green, yellow, purple or black.

    Read the abstract » | (added 08/13/2018)

    Tags: Bloody Effluent, Chyloperitoneum, Peritoneal Dialysis, Peritonitis, Rhabdomyolysis

  10. Risk Factors for Encapsulating Peritoneal Sclerosis

    EPS is a rare but devastating complication of PD. Among a series of 703 PD patients in Japan between 1980 and 2015, 6.3% developed EPS. Identified risk factors included a history of longer-duration peritonitis and longer time on PD, while use of biocompatible PD fluid reduced the risk. Read the abstract.

    Read the abstract » | (added 11/13/2017)

    Tags: Biocompatible Peritoneal Dialysis Fluid, Dialysate To Plasma Creatinine (D/P Cr) Ratio By Peritoneal Equilibration (Pet), Peritoneal Dialysis, Peritoneal Dialysis Duration, Peritonitis