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그람 음성균주에 의한 CAPD 복막염의 임상적 고찰

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Author(s)
박성배박용일주 일박근용김현철
Keimyung Author(s)
Park, Sung BaePark, Keun YongKim, Hyun Chul
Department
Dept. of Internal Medicine (내과학)
Journal Title
대한신장학회지
Issued Date
1994
Volume
13
Issue
3
Abstract
We experienced 56 episodes of CAPD peritonitis caused by gram-negative organism, which accounted for 22.4% of all episodes of peritonits at Keimyung University Hospital from 1988 to 1992. Among the Gram-negative organisms. Pseudomonas species (23.2%) and Acinetobacter species (21.4%) were the two most frequent etiologies, followed by E. coli (17.8%), Enterobacter (12.5%) and Serratia (7.1%) species in decreasing order of frequency. Cramping abdominal pain was found in all cases, abdominal tenderness in 87%, rebound tenderness in 46.6%’ fever in 33.9%, nausea in 21.4% and vomiting in 7.8%, Peritoneal catheters had to be removed in 53.6% (30 of 56) of Gram-negative CAPD peritonitis. Among them, three patients were underwent laparotomy due to intra-abdominal abscess formation and peritoneal adhesion. It was necessary to remove the peritoneal catheter in all cases (100%) by Serratia species, in 69.2% by Pseudomonas species, in 50% by E. coli, Acinetobacter, Citrobacter and Pro-videncia. There were eight peritonitis-related death, and sepsis was the most frequent cause of death among these patients. We conclude that early catheter removal and/ or exploratory laparotomy are necessary whenever clinical signs of Gram-negative CAPD peritonitis do not clear within 48 hours of initiating therapy.
Alternative Title
Gram-Negative Peritonitis Associated with Continuous Ambulatory Peritoneal Dialysis
Keimyung Author(s)(Kor)
박성배
박근용
김현철
Publisher
School of Medicine
Citation
박성배 et al. (1994). 그람 음성균주에 의한 CAPD 복막염의 임상적 고찰. 대한신장학회지, 13(3), 505–512.
Type
Article
ISSN
1225-0015
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/37834
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
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