PERITONITIS IN PERITONEAL DIALYSIS PATIENTS IN URUGUAY

• Published in: Peritoneal dialysis international Vol. 28; no. 3; pp. 232 - 235
• Main Authors: Gadola, Liliana, Orihuela, Lucia, Perez, Daniel, Gomez, Teresa, Sola, Laura, Chifflet, Liliana, Mautone, Mariela, Torres, Eugenia, Rodriguez, Grisel
• Format: Journal Article
• Language: English
• Published: Milton, ON Multimed 01-05-2008
• Subjects: Adult; Aged; Aged, 80 and over; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy; Anti-Bacterial Agents - therapeutic use; Biological and medical sciences; Drug Therapy, Combination; Emergency and intensive care: renal failure. Dialysis management; Female; Gentamicins - therapeutic use; Glomerulonephritis; Gram-Positive Bacterial Infections - drug therapy; Gram-Positive Bacterial Infections - epidemiology; Gram-Positive Bacterial Infections - etiology; Guideline Adherence; Humans; Incidence; Intensive care medicine; Male; Medical sciences; Methicillin Resistance; Middle Aged; Nephrology. Urinary tract diseases; Nephropathies. Renovascular diseases. Renal failure; Peritoneal Dialysis - adverse effects; Peritonitis - drug therapy; Peritonitis - epidemiology; Peritonitis - microbiology; Retrospective Studies; Staphylococcal Infections - complications; Staphylococcal Infections - drug therapy; Uruguay - epidemiology; Vancomycin - therapeutic use; Uruguay; Kidney disease; Human; Extrarenal dialysis; bacteriology; Urinary system disease; Microbiological investigation; Treatment; Uruguay; Abdominal disease; Renal failure; Peritoneal dialysis; Peritonitis
• ISSN: 0896-8608; 1718-4304
• DOI: 10.1177/089686080802800307

1 Department of Nephrology: Hospital de
Clínicas , 2 CASMU , 3
SEINE , 4
Uruguayana , 5
Hospital Maciel , 6
Hospital Americano, Montevideo,
Uruguay
Correspondence to: L. Gadola, Sociedad Uruguaya de Nefrología -
Nefrología, 18 de Julio 2103/802 Montevideo 11200,
Uruguay. palil{at}chasque.net
Uruguay is a South American country (3241003 inhabitants) where renal
replacement treatment is universally available. The aim of this study was to
analyze the incidence and outcome of peritonitis, and the causative organisms
and their sensitivity, in order to recommend an empiric initial antibiotic
treatment. A retrospective descriptive study of all peritonitis during the
period 2004-2005 was performed (144 peritonitis, 44% due to gram-positive
bacteria). We conclude that the high prevalence of methicillin-resistant
coagulase-negative staphylococci justifies the use of vancomycin in the
national empiric initial antibiotic protocols.
KEY WORDS: Peritonitis; bacteriology; treatment; Uruguay.
Received 1 July 2007;
accepted 10 March 2008.