Related Experiment Video

Updated: Sep 26, 2026

A Retrograde Implantation Approach for Peritoneal Dialysis Catheter Placement in Mice
06:27

A Retrograde Implantation Approach for Peritoneal Dialysis Catheter Placement in Mice

Published on: July 20, 2022

[Incidence of peritonitis and catheter exit site infection in children undergoing automatic continuous cyclic

Vytautas Baciulis1, Augustina Jankauskiene, Rimante Cerkauskiene

  • 1Children's Clinic, Vilnius University, Vilnius, Lithuania. vytautas_baciulis@yahoo.com

Medicina (Kaunas, Lithuania)
|May 23, 2003
PubMed

Insights

In children undergoing continuous cyclic peritoneal dialysis, peritonitis and catheter exit site infections are common. Exit site infections significantly increase the risk of developing peritonitis.

Area of Science:

  • Pediatric Nephrology
  • Infectious Diseases

Background:

  • Continuous cyclic peritoneal dialysis (CCPD) is a treatment for pediatric kidney failure.
  • Peritonitis and catheter exit site infections (CESI) are significant complications in patients on CCPD.

Purpose of the Study:

  • To investigate the clinical features of peritonitis and CESI in children undergoing CCPD.
  • To determine the incidence and causative organisms of these infections.

Main Methods:

  • A retrospective review of 8 children on CCPD over a mean of 14.9 months.
  • Analysis of peritonitis and CESI episodes, including time to onset, incidence, and microbial causes.

Main Results:

  • 14 episodes of peritonitis occurred in 4 children (incidence: 1 episode/9 treatment months).
  • Gram-negative organisms (Enterococcus spp.) predominated in peritonitis (35.7%), while gram-positive bacteria (Staphylococcus epidermidis) caused most CESI.
  • CESI incidence was 1 episode/8 treatment months. Patients with CESI had a 7-fold higher risk of peritonitis. Two patients died, unrelated to peritonitis.

Conclusions:

  • Peritonitis and CESI are frequent in pediatric CCPD patients.
  • CESI is a significant risk factor for developing peritonitis.
  • Antibiotic therapy is generally effective, but catheter replacement may be necessary.

More Related Videos

Laparoscopic-Assisted Seldinger Technique for Peritoneal Dialysis Catheter Insertion06:23

Laparoscopic-Assisted Seldinger Technique for Peritoneal Dialysis Catheter Insertion

Published on: May 23, 2025

An In Vitro Bladder Model of Catheter-Associated Urinary Tract Infection07:57

An In Vitro Bladder Model of Catheter-Associated Urinary Tract Infection

Published on: June 24, 2025

Related Concept Videos

Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications01:25

Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications

Peritoneal dialysis (PD) is a medical process that removes waste products and excess fluid from the body using the peritoneal membrane as a natural filter.Peritoneal Dialysis MethodsSeveral methods can be used for peritoneal dialysis, including Acute Intermittent Peritoneal Dialysis, Continuous Ambulatory Peritoneal Dialysis, and Automated Peritoneal Dialysis, also known as Continuous Cyclic Peritoneal Dialysis.Acute Intermittent Peritoneal Dialysis (AIPD) is used for patients with uremic...
Peritoneal Dialysis I: Introduction and Procedure01:30

Peritoneal Dialysis I: Introduction and Procedure

Peritoneal dialysis (PD) is a procedure that facilitates the exchange of solutes, waste products, electrolytes, and excess fluid between the blood in the peritoneal capillaries and a dialysis solution introduced into the peritoneal cavity.Principles of Peritoneal Dialysis (PD)Diffusion: Waste products such as urea and electrolytes move from high concentrations in the blood to low concentrations in the dialysate across the peritoneal membrane. This mechanism is driven by the concentration...
Parentral Nutrition: Centeral and Peripheral Parental Nutrition01:27

Parentral Nutrition: Centeral and Peripheral Parental Nutrition

Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
Cardiac Catheterization I: Pre-Procedure Overview01:28

Cardiac Catheterization I: Pre-Procedure Overview

Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
Continuous Renal Replacement Therapy01:30

Continuous Renal Replacement Therapy

Continuous Renal Replacement Therapy, also known as CRRT, is a procedural treatment for acute kidney injury (AKI) that gradually removes uremic toxins and fluids while maintaining acid-base balance and stabilizing electrolytes. It is particularly useful for hemodynamically unstable patients. Unlike intermittent hemodialysis, which is faster, CRRT provides a gentler approach over 24 hours, closely mimicking the function of natural kidneys. However, CRRT is not ideal for patients with...
Endocarditis IV: Nursing Management01:29

Endocarditis IV: Nursing Management

Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...