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Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
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Retroperitoneal Laparoscopic Debridement and Drainage for Pancreatic Abscess
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Published on: March 15, 2024

Peritonitis in Latin America.

Pasqual Barretti1, Kleyton A Bastos, Jorge Dominguez

  • 1Department of Internal Medicine, University Hospital, Botucatu School of Medicine, São Paulo State University, Rubião Júnior, CEP 18618-970 São Paulo, SP, Brazil. pbarretti@uol.com.br

Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis
|May 1, 2007
PubMed
Summary

Peritonitis, a serious complication of peritoneal dialysis, has seen reduced incidence in Latin America due to improved safety measures. Staphylococcus aureus remains a significant cause, impacting outcomes despite technological advancements.

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Colon Ascendens Stent Peritonitis (CASP) - a Standardized Model for Polymicrobial Abdominal Sepsis
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Colon Ascendens Stent Peritonitis (CASP) - a Standardized Model for Polymicrobial Abdominal Sepsis

Published on: December 18, 2010

Area of Science:

  • Nephrology
  • Infectious Diseases
  • Public Health

Background:

  • Peritoneal dialysis is widely used in Latin America.
  • Understanding peritonitis patterns is crucial for patient care.
  • Peritonitis is the most significant complication of peritoneal dialysis.

Purpose of the Study:

  • To review Latin American data on peritonitis in peritoneal dialysis.
  • To analyze trends in incidence, causative organisms, and outcomes.
  • To compare findings with developed countries.

Main Methods:

  • Systematic review of Latin American data on peritoneal dialysis peritonitis.
  • Analysis of peritonitis incidence, microbial patterns, and patient outcomes.
  • Comparison of outcomes based on causative organisms and resistance patterns.

Main Results:

  • Peritonitis incidence has decreased to <1 episode per 24 patient-months.
  • Staphylococcus aureus remains prevalent, alongside coagulase-negative staphylococci and gram-negatives.
  • Resolution rates range from 55-78%; transfer to hemodialysis (10.9-15.4%) and death (3-9.9%) occur.
  • Outcomes are poorer for S. aureus peritonitis, even with lower oxacillin resistance.

Conclusions:

  • Despite challenges, Latin American peritonitis outcomes are comparable to developed nations.
  • Technological improvements and center expertise likely contribute to positive outcomes.
  • Continued vigilance regarding S. aureus and evolving microbial patterns is necessary.