Viridans streptococcus peritonitis in peritoneal dialysis: clinical characteristics and comparison with concurrent polymicrobial infection
Abstract Background The clinical course of Viridans streptococci (VS) peritonitis in patients undergoing peritoneal dialysis (PD) is rarely reported. This study examined the association of clinical factors with VS peritonitis. Methods We retrospectively reviewed clinical data from patients with VS p...
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| Format: | Article |
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BMC
2018-10-01
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| Series: | BMC Nephrology |
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| Online Access: | http://link.springer.com/article/10.1186/s12882-018-1078-z |
| _version_ | 1818294935029284864 |
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| author | Ying Liu Ben-Chung Cheng Jien-Wei Liu Chiao-Jung Chen Li-Chueh Kuo Wen Xiu Chang Jin-Bor Chen |
| author_facet | Ying Liu Ben-Chung Cheng Jien-Wei Liu Chiao-Jung Chen Li-Chueh Kuo Wen Xiu Chang Jin-Bor Chen |
| author_sort | Ying Liu |
| collection | DOAJ |
| description | Abstract Background The clinical course of Viridans streptococci (VS) peritonitis in patients undergoing peritoneal dialysis (PD) is rarely reported. This study examined the association of clinical factors with VS peritonitis. Methods We retrospectively reviewed clinical data from patients with VS peritonitis from March 1990 to February 2016 in a PD center in Taiwan and evaluated clinical profiles and treatment outcomes. Results A total of 109 episodes of VS peritonitis in 71 patients identified. Among these patients, 57 had mono-VS peritonitis and 14 had concurrent polymicrobial infections. The median time interval from PD initiation to the first VS peritonitis episode was 18 months (range, 0.6–144 months). Among clinical outcomes, most VS peritonitis episodes were completely cured regardless of a history of peritonitis. All episodes with catheter removal occurred in those without a history of recent antibiotic use. Conclusion VS peritonitis in patients undergoing PD typically has favorable treatment outcomes. Antibiotic therapy should be started promptly. |
| first_indexed | 2024-12-13T03:39:39Z |
| format | Article |
| id | doaj.art-ae349a02f95147b8ad86b2c795c76604 |
| institution | Directory Open Access Journal |
| issn | 1471-2369 |
| language | English |
| last_indexed | 2024-12-13T03:39:39Z |
| publishDate | 2018-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Nephrology |
| spelling | doaj.art-ae349a02f95147b8ad86b2c795c766042022-12-22T00:00:58ZengBMCBMC Nephrology1471-23692018-10-011911810.1186/s12882-018-1078-zViridans streptococcus peritonitis in peritoneal dialysis: clinical characteristics and comparison with concurrent polymicrobial infectionYing Liu0Ben-Chung Cheng1Jien-Wei Liu2Chiao-Jung Chen3Li-Chueh Kuo4Wen Xiu Chang5Jin-Bor Chen6Department of Nephrology, Tianjin First Center HospitalDivision of Nephrology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of MedicineDivision of Infectious Diseases, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of MedicineDivision of Nephrology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of MedicineDivision of Nephrology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of MedicineDepartment of Nephrology, Tianjin First Center HospitalDivision of Nephrology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of MedicineAbstract Background The clinical course of Viridans streptococci (VS) peritonitis in patients undergoing peritoneal dialysis (PD) is rarely reported. This study examined the association of clinical factors with VS peritonitis. Methods We retrospectively reviewed clinical data from patients with VS peritonitis from March 1990 to February 2016 in a PD center in Taiwan and evaluated clinical profiles and treatment outcomes. Results A total of 109 episodes of VS peritonitis in 71 patients identified. Among these patients, 57 had mono-VS peritonitis and 14 had concurrent polymicrobial infections. The median time interval from PD initiation to the first VS peritonitis episode was 18 months (range, 0.6–144 months). Among clinical outcomes, most VS peritonitis episodes were completely cured regardless of a history of peritonitis. All episodes with catheter removal occurred in those without a history of recent antibiotic use. Conclusion VS peritonitis in patients undergoing PD typically has favorable treatment outcomes. Antibiotic therapy should be started promptly.http://link.springer.com/article/10.1186/s12882-018-1078-zViridans streptococciPeritonitisPeritoneal dialysis |
| spellingShingle | Ying Liu Ben-Chung Cheng Jien-Wei Liu Chiao-Jung Chen Li-Chueh Kuo Wen Xiu Chang Jin-Bor Chen Viridans streptococcus peritonitis in peritoneal dialysis: clinical characteristics and comparison with concurrent polymicrobial infection BMC Nephrology Viridans streptococci Peritonitis Peritoneal dialysis |
| title | Viridans streptococcus peritonitis in peritoneal dialysis: clinical characteristics and comparison with concurrent polymicrobial infection |
| title_full | Viridans streptococcus peritonitis in peritoneal dialysis: clinical characteristics and comparison with concurrent polymicrobial infection |
| title_fullStr | Viridans streptococcus peritonitis in peritoneal dialysis: clinical characteristics and comparison with concurrent polymicrobial infection |
| title_full_unstemmed | Viridans streptococcus peritonitis in peritoneal dialysis: clinical characteristics and comparison with concurrent polymicrobial infection |
| title_short | Viridans streptococcus peritonitis in peritoneal dialysis: clinical characteristics and comparison with concurrent polymicrobial infection |
| title_sort | viridans streptococcus peritonitis in peritoneal dialysis clinical characteristics and comparison with concurrent polymicrobial infection |
| topic | Viridans streptococci Peritonitis Peritoneal dialysis |
| url | http://link.springer.com/article/10.1186/s12882-018-1078-z |
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