복막투석 환자에서 녹농균에 의한 복막염

Title
복막투석 환자에서 녹농균에 의한 복막염
Other Titles
Pseudomonas Peritonitis in Peritoneal Dialysis Patients
Authors
박우영황은아장미현강성식최고김정은한승엽김현철박성배
Keimyung Author(s)
박우영; 황은아; 강성식; 한승엽; 김현철; 박성배
Department
Dept. of Internal Medicine (내과학); Kidney Institute (신장연구소)
Keywords
Peritoneal dialysis; Peritonitis; Pseudomonas
Issue Date
2009
Publisher
Keimyung University School of Medicine
Citation
Keimyung Medical Journal, Vol.28(별호) : 157-163, 2009
Abstract
Peritonitis is one of the major complications leading to mortality and technical failure in patients undergoing peritoneal dialysis (PD). Especially, peritonitis due to Pseudomonas species is associated with poor response to conventional antibiotics and with high rates of catheter removal. We have examined the incidence, clinical course of Pseudomonas peritonitis. Between January 2001 and December 2008, episodes of peritonitis due to Pseudomonas species in Keimyung University Dongsan Hospital were reviewed retrospectively. In 820 episodes of peritonitis occurred during the studied period, a total of 28 episodes of Pseudomonas peritonitis occurred in 26 PD patients. The mean age of the Pseudomonas peritonitis patients was 57.6±9.9 years, and male:female ratio was 7:19. The mean occurrence period from the beginning of PD was 16.3±14.6 months. The organisms isolated were P. aeruginosa, P. oryzihabitans, P. fluorescens, P. mendocina, P. stutzeri and P. putida. Peritonitis was cured in 20 cases with the administration of antibiotics. However, catheters had to be removed in 6 cases. Pseudomonas peritonitis is associated with high rates of catheter removal. When Pseudomonas peritonitis is not improved despite of antibiotic treatment, early peritoneal catheter removal must be considered to prevent further injuries of peritoneum and patient death.
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/15479
Appears in Collections:
2. Keimyung Medical Journal (계명의대 학술지) > 2009
1. 연구논문 > 1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
1. 연구논문 > 3. Researcher Institutues (부설연구소) > Kidney Institute (신장연구소)
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