Peritonitis in Long-Term Peritoneal Dialysis Patients in Phangnga Hospital
Keywords:
Advanced age, Peritoneal dialysis, Peritonitis, Risk factorAbstract
Background: Peritoneal dialysis in Thailand was increased since the implementation of PD-First policy in 2008. Peritonitis is a major cause of morbidity and mortality among dialysis patients.
Objectives: This study was conducted to identify the incidence and epidemiology data of peritonitis in Phangnga hospital.
Methodology: We reviewed all medical records of patients who follow up in CAPD clinic in Phangnga hospital from October 2016 to September 2019 and adhered with the treatment for at least 1 month. This retrospective descriptive study was focused on the incidence of peritonitis, clinical presentation, causing pathogens, risk factors, and patients’ outcome.
Results: Total 140 patients were included in this study. Fifty-three (37.9%) patients got peritonitis. The incidence of peritonitis from Fiscal year 2017 to 2019 were 0.71, 0.46 and 0.42 episodes per patients per year, respectively. The common clinical symptoms were abdominal pain and cloudy effluent. The most common organism was gram positive cocci (43.2%). The main pathogens were Coagulase-negative staphylococcus (17.8%), Staphylococcus aureus (14.4%) and Escherichia coli (11.9%). The peritonitis increased in patients who age more than 60 years. There were 16 episodes of refractory peritonitis with peritoneal catheter loss with an overall mortality rate of 7.6%
Conclusion: The rate of peritonitis in Phangnga hospital was gradually decreasing and recent two years achieved key performance indicators. Coagulase-negative staphylococcus was the main pathogen. Advanced age was the risk factor of peritonitis.
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