การติดเชื้อที่เยื่อบุผนังช่องท้องในผู้ป่วยที่ได้รับการล้างไตทางช่องท้องอย่างต่อเนื่อง ในโรงพยาบาลพระจอมเกล้า จังหวัดเพชรบุรี

บทคัดย่อ

Objective: Peritonitis is a major cause of death and technical failure in ESRD patients recieveing CAPD treatment. This study was conducted to evaluate the risk factors of peritonitis and causative organisms
among CAPD patients in Phrachomklao Hospital Petchaburi Province.

Material and method: This is a retrospective descriptive study. All patients in the study had received
CAPD treatment during 2008 to 2012, The patients were divided into two groups 1) Infectious peritonitis patients 2) The patients who did not get infectious peritonitis, the medical records were reviewed and analyzed to identify the risk factors of peritonitis and causative organisms.

Result : Of 120 patients, 49 patients (40.8%) had peritonitis and 71 patients (59.2%) had no peritonitis. The risk factors associated with peritonitis were diabetes (73.4% in patients with peritonitis and 46.5% in the
patients who had no peritonitis; p = 0.02) and high blood sugar level (182.3 ± 48 vs 150.1 ± 33, p = 0.02)
Conclusion: Diabetic kidney disease and high fasting blood sugar were the risk factors of peritonitis
and good blood sugar control would decrease the incidence of peritonitis in CAPD patients.