Peritonitis complicating acute peritoneal dialysis in Northeast Malaysia.

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dc.contributor.authorKamaliah, M Den_US
dc.contributor.authorRoziawati, Yen_US
dc.date.accessioned2009-05-27T14:48:20Z
dc.date.available2009-05-27T14:48:20Z
dc.date.issued2000-09-06en_US
dc.descriptionThe Southeast Asian Journal of Tropical Medicine and Public Health.en_US
dc.description.abstractA prospective observational study examing the incidence, predisposing factors and microbiological aspects of peritonitis complicating acute intermittent peritoneal dialysis (IPD) was performed in Hospital Universiti Sains Malaysia, a referral hospital situated in Northeast Malaysia. Over a 7- month period, a total of 126 acute IPD treatments were included involving 69 patients. The majority of patients suffered from chronic or end stage renal failure (92.7%) and nearly half (47.8%) have underlying diabetes mellitus. Peritonitis occured in 25 treatment sessions giving a frequency of 19.8% of procedures performed. The mean interval between starting dialysis and the first sign of peritonitis was 3.5 days, with 12% of peritonitis occuring before day 3 of treatment. Frequent catheter manipulation and/or leakages were identified as significant predisposing factors for peritonitis and the risk of peritonitis was increased with longer duration of IPD. Gram-negative infections were seen twice more commonly than gram-positive infections. We recommend the use of cloxacillin in combination with either an aminoglycoside or a cephalosporin as empirical antibiotic coverage until culture reports are available.en_US
dc.description.affiliationDepartment of Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan.en_US
dc.identifier.citationKamaliah MD, Roziawati Y. Peritonitis complicating acute peritoneal dialysis in Northeast Malaysia. The Southeast Asian Journal of Tropical Medicine and Public Health. 2000 Sep; 31(3): 540-6en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/31132
dc.language.isoengen_US
dc.source.urihttps://www.tm.mahidol.ac.th/seameo/2000_31_3/24-2435.pdfen_US
dc.subject.meshAdolescenten_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshAged, 80 and overen_US
dc.subject.meshDemographyen_US
dc.subject.meshFemaleen_US
dc.subject.meshGram-Negative Bacterial Infections --complicationsen_US
dc.subject.meshGram-Positive Bacterial Infections --complicationsen_US
dc.subject.meshHumansen_US
dc.subject.meshIncidenceen_US
dc.subject.meshMalaysia --epidemiologyen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshPeritoneal Dialysis --adverse effectsen_US
dc.subject.meshPeritonitis --epidemiologyen_US
dc.subject.meshProspective Studiesen_US
dc.titlePeritonitis complicating acute peritoneal dialysis in Northeast Malaysia.en_US
dc.typeJournal Articleen_US
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