Xanthomonas maltophilia peritonitis in uremic patients receiving continuous ambulatory peritoneal dialysis
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AbstractXanthomonas maltophilia peritonitis has been only occasionally reported in patients receiving continuous ambulatory peritoneal dialysis, We present a series of six cases of peritonitis caused by such bacteria, accounting for 1.5% of all peritonitis episodes encountered in our renal unit over the past 5 years, Recent bacterial peritonitis treated with broad-spectrum antibiotics was the major risk factor, and the outcome was poor with medical treatment alone, Secondary peritonitis, especially fungal, was common and probably related to the prolonged course of antibiotics, All patients eventually required removal of the catheter, either because the effluent failed to clear up or because of secondary peritonitis. We suggest that X maltophilia peritonitis be treated with double antibiotics as soon as it is diagnosed, To prevent the development of superimposed infection after prolonged administration of antibiotics, the Tenckhoff catheter should be removed if the peritonitis fails to respond to a short course of antibiotics. (C) 1997 by the National Kidney Foundation, Inc.
All Author(s) ListSzeto CC, Li PKT, Leung CB, Yu AWY, Lui SF, Lai KN
Journal nameAmerican Journal of Kidney Diseases
Year1997
Month1
Day1
Volume Number29
Issue Number1
PublisherW B SAUNDERS CO
Pages91 - 95
ISSN0272-6386
eISSN1523-6838
LanguagesEnglish-United Kingdom
Keywordsperitoneal dialysis; peritonitis; Xanthomonas maltophilia
Web of Science Subject CategoriesUrology & Nephrology; UROLOGY & NEPHROLOGY

Last updated on 2020-28-01 at 01:26