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Viridans streptococcus peritonitis in peritoneal dialysis: clinical characteristics and comparison with concurrent

Ying Liu1, Ben-Chung Cheng2, Jien-Wei Liu3

  • 1Department of Nephrology, Tianjin First Center Hospital, No.24 Fukang Road, Nankai District, Tianjin, 300192, China.

BMC Nephrology
|October 21, 2018
PubMed
Abstract

Insights

Viridans streptococci peritonitis in peritoneal dialysis patients generally has good outcomes. Prompt antibiotic treatment is crucial for successful management of this infection.

Area of Science:

  • Nephrology
  • Infectious Diseases
  • Microbiology

Background:

  • Viridans streptococci (VS) peritonitis is a rare complication in patients undergoing peritoneal dialysis (PD).
  • Limited data exists on the clinical course and factors associated with VS peritonitis in PD patients.

Purpose of the Study:

  • To investigate the clinical factors associated with Viridans streptococci peritonitis.
  • To evaluate the clinical profiles and treatment outcomes of VS peritonitis in PD patients.

Main Methods:

  • Retrospective review of clinical data from PD patients with VS peritonitis.
  • Data collected from March 1990 to February 2016 at a Taiwanese PD center.
  • Analysis of 109 episodes in 71 patients, including mono-VS and polymicrobial infections.

Main Results:

  • Most VS peritonitis episodes demonstrated favorable treatment outcomes, with complete cure rates high, irrespective of prior peritonitis history.
  • The median time from PD initiation to the first VS peritonitis episode was 18 months.
  • Catheter removal was exclusively observed in patients without recent antibiotic use.

Conclusions:

  • Viridans streptococci peritonitis in PD patients typically exhibits favorable treatment outcomes.
  • Prompt initiation of antibiotic therapy is recommended for effective management.
Keywords:
Peritoneal dialysisPeritonitisViridans streptococci

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