Frequency and Antimicrobial Susceptibility of Bacterial Agents Causing Peritoneal Dialysis-Related Peritonitis: A Two-Center Experience

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SHIRVANI FARIBA; HOOMAN NAKYSA; KARIMI ABDOLLAH; ARMIN SHAHNAZ; FAHIMZAD ALIREZA; Mansour Ghanaei Roxana; Rafiee Tabatabaei Sedigheh; FALLAH FATEMEH

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Journal: International Journal of Infection Year:2020 | Volume:7 | Issue:4 Page(s): 0-0

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Title

Frequency and Antimicrobial Susceptibility of Bacterial Agents Causing Peritoneal Dialysis-Related Peritonitis: A Two-Center Experience

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Keywords

Peritoneal Dialysis

Peritonitis

Antimicrobial Susceptibility

Children

Abstract

Background: Peritonitis remains a significant complication of Peritoneal Dialysis (PD) in Children. Objectives: The current study aimed to evaluate the causative agents of PD-related Peritonitis in pediatric patients treated by continuous ambulatory Peritoneal Dialysis (CAPD) in order to provide evidence for improving the empirical treatment of PD-related Peritonitis and avoid antimicrobial resistance. Methods: The medical records of Children diagnosed with PD-related Peritonitis hospitalized at Mofid and Ali-Asghar Children’ s Hospitals from January 2018 to December 2019 were retrospectively reviewed. Cases of relapsing Peritonitis and fungal Peritonitis were excluded. Data on demographics, clinical manifestations, para-clinical evaluations, peritoneal fluid culture and antibiogram, and antibiotic regimen were analyzed. Results: A total of 23 CAPD Children aged 1-17 years were hospitalized with a confirmed diagnosis of PD-related Peritonitis, accounting for a total of 27 Peritonitis cases. The most frequent manifestation of Peritonitis was cloudy dialysate (85. 2%), followed by abdominal pain (59. 3%). Gram-negative organisms were isolated in 48. 1% of cases, and 4 cases had negative cultures. The frequency of antibiotic prescription within 14 days of admission was significantly higher in culture-negative cases (P = 0. 002), and abdominal pain was more prevalent in Gram-negative Peritonitis (P = 0. 004). All Gram-negative organisms were sensitive to ceftazidime and imipenem; while 61. 6% of them were sensitive to gentamycin. All Gram-positive organisms were sensitive to cefazolin, and vancomycin was effective against all Staphylococcus strains. Oxacillin resistance was reported in 50% of Staphylococcus strains. Conclusions: PD-related Peritonitis should be suspected even in cases with clear dialysis effluent who present with other manifestations of Peritonitis such as fever or abdominal pain. Moreover, intraperitoneal administration of a first-generation cephalosporin (cefazolin) combined with ceftazidime was an appropriate therapeutic option for empiric therapy.

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APA: Copy

SHIRVANI, FARIBA, HOOMAN, NAKYSA, KARIMI, ABDOLLAH, ARMIN, SHAHNAZ, FAHIMZAD, ALIREZA, Mansour Ghanaei, Roxana, Rafiee Tabatabaei, Sedigheh, & FALLAH, FATEMEH. (2020). Frequency and Antimicrobial Susceptibility of Bacterial Agents Causing Peritoneal Dialysis-Related Peritonitis: A Two-Center Experience. INTERNATIONAL JOURNAL OF INFECTION, 7(4), 0-0. SID. https://sid.ir/paper/696966/en

Vancouver: Copy

SHIRVANI FARIBA, HOOMAN NAKYSA, KARIMI ABDOLLAH, ARMIN SHAHNAZ, FAHIMZAD ALIREZA, Mansour Ghanaei Roxana, Rafiee Tabatabaei Sedigheh, FALLAH FATEMEH. Frequency and Antimicrobial Susceptibility of Bacterial Agents Causing Peritoneal Dialysis-Related Peritonitis: A Two-Center Experience. INTERNATIONAL JOURNAL OF INFECTION[Internet]. 2020;7(4):0-0. Available from: https://sid.ir/paper/696966/en

IEEE: Copy

FARIBA SHIRVANI, NAKYSA HOOMAN, ABDOLLAH KARIMI, SHAHNAZ ARMIN, ALIREZA FAHIMZAD, Roxana Mansour Ghanaei, Sedigheh Rafiee Tabatabaei, and FATEMEH FALLAH, “Frequency and Antimicrobial Susceptibility of Bacterial Agents Causing Peritoneal Dialysis-Related Peritonitis: A Two-Center Experience,” INTERNATIONAL JOURNAL OF INFECTION, vol. 7, no. 4, pp. 0–0, 2020, [Online]. Available: https://sid.ir/paper/696966/en

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