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Related Experiment Videos

Outcome following staphylococcal peritonitis.

S J Peacock1, P A Howe, N P Day

  • 1Nuffield Department of Pathology and Bacteriology, The Oxford Radcliffe Hospital NHS Trust, Oxford, United Kingdom. sharon.peacock@ndp.ac.ox.uk

Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis
|May 16, 2000
PubMed
Summary

Staphylococcus aureus peritonitis, a common complication in continuous ambulatory peritoneal dialysis (CAPD), leads to higher rates of catheter removal and conversion to hemodialysis compared to coagulase-negative staphylococci. Effective prevention strategies for S. aureus are crucial.

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Area of Science:

  • Nephrology
  • Infectious Diseases
  • Clinical Medicine

Background:

  • Staphylococcus species are primary causes of peritonitis in patients undergoing continuous ambulatory peritoneal dialysis (CAPD).
  • This study compares the clinical outcomes of peritonitis caused by Staphylococcus aureus versus coagulase-negative staphylococci (CoNS) in CAPD patients.

Observation:

  • A prospective observational study was conducted in a single regional dialysis unit.
  • Data from 37 patients with S. aureus peritonitis and 65 patients with CoNS peritonitis (July 1990-November 1995) were analyzed.
  • Survival analysis focused on time to death, catheter removal, and conversion to hemodialysis, alongside abdominal complication rates.

Findings:

  • While no significant difference in mortality was observed between S. aureus and CoNS peritonitis groups, S. aureus infections were linked to two deaths during treatment.

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  • Five patients with S. aureus peritonitis experienced serious abdominal complications.
  • Patients with S. aureus peritonitis had significantly shorter times to peritoneal dialysis catheter removal and conversion to hemodialysis.

    • Implications:

    • Staphylococcus aureus peritonitis represents a serious complication in CAPD patients, necessitating prompt and effective management.
    • The findings underscore the critical need for robust preventive measures targeting S. aureus infections in CAPD populations.
    • Early recognition and intervention for S. aureus peritonitis may be vital to mitigate severe outcomes such as catheter loss and dialysis modality change.