Excessive risk and poor outcome of hospital-acquired peritoneal dialysis-related peritonitis

Background Peritoneal dialysis (PD) is a home-based renal replacement therapy. Since hospital staff are not often familiar with PD and its complications, PD patients may have an excess risk of developing PD-related peritonitis during hospital admission for unrelated reasons, and the outcome may be a...

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Bibliographic Details
Published in:Clinical kidney journal 2022-11, Vol.15 (11), p.2107-2115
Main Authors: Szeto, Cheuk-Chun, Ng, Jack Kit-Chung, Fung, Winston Wing-Shing, Chan, Gordon Chun-Kau, Cheng, Phyllis Mei-Shan, Law, Man-Ching, Pang, Wing-Fai, Li, Philip Kam-Tao, Leung, Chi-Bon, Chow, Kai-Ming
Format: Article
Language:English
Subjects:
Comparative analysis
Health aspects
Original
Peritonitis
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Summary:Background Peritoneal dialysis (PD) is a home-based renal replacement therapy. Since hospital staff are not often familiar with PD and its complications, PD patients may have an excess risk of developing PD-related peritonitis during hospital admission for unrelated reasons, and the outcome may be affected. Methods We reviewed 371 episodes of hospital-acquired PD peritonitis in our center from 2000 to 2019. Their clinical characteristics and outcomes were compared with 825 episodes that required hospital admission and 1964 episodes that were treated as outpatient. Results Hospitalized PD patients had a significantly higher risk of developing peritonitis than outpatients [incident rate ratio 4.41 (95% confidence interval 3.95–4.91]. Hospital-acquired peritonitis episodes were more commonly culture negative. Bacterial isolates from the hospital-acquired episodes were more likely resistant to ceftazidime (P
ISSN:2048-8505
2048-8513
DOI:10.1093/ckj/sfac164