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Fungal peritonitis among the peritoneal dialysis patients of four Turkish centres

Rumeyza Kazancioglu1, Gulbahar Kirikci, Muserref Albaz

  • 1Department of Nephrology, Haseki Training and Research Hospital, Istanbul, Turkey. drkazancioglu@yahoo.com

Journal of Renal Care
|October 26, 2010
PubMed

Insights

Fungal peritonitis in continuous ambulatory peritoneal dialysis (CAPD) patients is serious. Prompt catheter removal and antifungal treatment are crucial to reduce high morbidity and mortality in CAPD-associated fungal peritonitis.

Area of Science:

  • Nephrology
  • Infectious Diseases
  • Clinical Medicine

Background:

  • Fungal peritonitis is a serious complication in continuous ambulatory peritoneal dialysis (CAPD).
  • Understanding clinical findings and treatment outcomes is vital for managing CAPD patients.

Purpose of the Study:

  • To evaluate the clinical features and treatment strategies for fungal peritonitis in CAPD patients.
  • To analyze the outcomes of fungal peritonitis in a specific patient cohort.

Main Methods:

  • Retrospective review of clinical and laboratory data for 15 CAPD patients with fungal peritonitis.
  • Analysis of causative fungal species, treatment protocols, and patient outcomes.

Main Results:

  • The mean duration of dialysis before fungal peritonitis was 41.14 months.
  • Candida species were the most common isolates (14/15 patients).
  • Catheter removal and antifungal therapy led to transfer to hemodialysis or death in some cases.

Conclusions:

  • Early diagnosis, Tenckoff catheter removal, and prompt antifungal therapy are critical for managing fungal peritonitis in CAPD patients.
  • Fungal peritonitis in CAPD is associated with significant morbidity and mortality.

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