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Risk factors for developing refractory peritonitis
Risk factors for developing refractory peritonitis
Marlene Ramón-García 1, Daniel F. Ovando-Morga 1, Eduardo Guerrero-Hinzpeter 1, Óscar R. Pasillas-Bautista 1, Alonso Gutiérrez-Virrueta 1, María J. Vásquez-Arzaga 1, Ruth I. Rivas-Bucio 1
1 Servicio de Nefrología, Hospital Regional Licenciado Adolfo López Mateos, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, Ciudad de México, México
*Correspondence: Ruth I. Rivas-Bucio. Email: ixelrivasbucio@gmail.com
Abstract
Introduction: Peritonitis is a common complication in patients receiving peritoneal dialysis. Multiple factors are involved in its development; however, the specific study of refractory peritonitis is far from traditional factors.
Objective: To identify risk factors for developing refractory peritonitis in patients receiving peritoneal dialysis.
Material and methods: This is a retrospective cohort study that recruited 61 patients of both sexes classified into two groups, with refractory peritonitis (n = 39) and with non-refractory peritonitis (n = 22), during the period from January 1, 2020, to December 31, 2024.
Results: In the multivariate model that included the variables of interest (cell count in dialysis fluid, diabetes mellitus, and modality of peritoneal dialysis), the isolation of Gram-positive bacteria in dialysis fluid was shown to be a protective factor for the development of refractory peritonitis (OR: 0.19; 95% CI: 0.45-0.80).
Conclusions: The isolation of Gram-positive bacteria was a protective factor for the development of refractory peritonitis.
Keywords: Peritoneal dialysis. Refractory peritonitis. Risk factors.
