| Literature DB >> 29563276 |
Hiroyuki Inoue1, Naoki Washida2,3, Kohkichi Morimoto3, Keisuke Shinozuka4, Takahiro Kasai4, Kiyotaka Uchiyama4, Hirobumi Tokuyama4, Shu Wakino4, Hiroshi Itoh4.
Abstract
Most infections related to peritoneal dialysis (PD) are caused by common bacteria, and non-tuberculous mycobacteria are rare. The clinical characteristics and prognosis of PD patients with non-tuberculous mycobacterial infections were investigated at our hospital. Non-tuberculous mycobacteria were detected in 11 patients (exit-site infection, tunnel infection, and peritonitis in 3, 5, and 3 patients, respectively). Mycobacterium fortuitum, Mycobacterium chelonae, and Mycobacterium abscessus were identified in 4, 2, and 2 patients, respectively. Most patients with peritonitis or tunnel infection required catheter removal. During the study period (2007 - 2017), peritonitis occurred in 44 patients, including 3 patients (6.8%) with non-tuberculous mycobacterial peritonitis. When non-tuberculous mycobacterial infection occurs, multi-agent antibiotic therapy, unroofing surgery, and/or catheter replacement should be performed to prevent peritonitis.Entities:
Keywords: Peritoneal dialysis; non-tuberculous mycobacteria; peritonitis
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Year: 2018 PMID: 29563276 DOI: 10.3747/pdi.2017.00172
Source DB: PubMed Journal: Perit Dial Int ISSN: 0896-8608 Impact factor: 1.756