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Rate of peritonitis associated with peritoneal dialysis in a second-level unit
Rate of peritonitis associated with peritoneal dialysis in a second-level unit
Martha G. Gómez-Nieves 1, Óscar A. Gutiérrez-Ozaeta 2, Karla Y. Espinoza-Varela 3
1 Medicina general, Unidad de Medicina Familiar No. 13, Saucillo, Chih., México; 2 Nefrología, Hospital General de Zona y Medicina Familiar No. 11, Delicias, Chih., México; 3 Medicina Familiar, Hospital General de Zona con Medicina Familiar No.11, Delicias, Chih., México
*Correspondence: Martha G. Gómez-Nieves. Email: marthaggomezn@outlook.com
Abstract
Introduction: Chronic diseases are currently the leading cause of death worldwide. Kidney disease has become one of the epidemics of the 21st century. In Mexico, up to 98% of people with chronic kidney disease due to diabetes are in grades 1 to 3, when the damage is controllable and sometimes reversible, while 2% will require complex and expensive treatments such as a kidney transplant or dialysis.
Objective: To identify the rate of peritonitis associated with peritoneal dialysis in the Nephrology Department of the General Hospital of the Family Medicine Zone No. 11.
Method: A retrospective and descriptive study was conducted. Data were collected over a period of one year from clinical records and a database of the nephrology department of patients receiving continuous ambulatory and automated peritoneal dialysis. The peritonitis rate was calculated using the simplified formula.
Results: One hundred-fifteen patients were included, 75 with continuous ambulatory peritoneal dialysis and 40 with automated peritoneal dialysis, with a mean age of 52 ± 12 years; prevailed the male gender (62%). Peritoneal fluid culture was performed in 18 of cases (86%), with a positive result in 4 (22%). The germs found were Staphylococcus epidermidis and Enterococcus faecalis. Only four cases were hospitalized for peritonitis.
Conclusions: Peritonitis is the most common complication of peritoneal dialysis. It is important to have local statistics and perform a thorough analysis of the procedure that leads to the diagnosis.
Keywords: Rate. Peritonitis. Peritoneal dialysis.
