DPEX
 
Database of Peritoneal dialysis in EXcel
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Characteristics of fungal peritonitis in patients on peritoneal dialysis reported from Nakhonpathom hospital

 

Thanaporn Imchai 1, Bunpring Jaroenpattrawut 1, Wanasri Wawngam2, Siribha Changsirikulchai3

 

Department of Medicine,Nakhonpathom hospital 1, Sirindhorn College of Public Health Khon Kaen2, Renal Division,Faculty of Medicine, Srinakharinwirot niversity 3


 

Purpose: This study aims to calculate the frequency and describe characteristics of FP in patients on peritoneal dialysis (PD) from Nakhonpathom hospital.

Method: We analyzed data of PD patients who had peritonitis (PN) during 2012-2017 and were registered in the Database of Peritoneal dialysis in Excel (DPEX).

Result: There were 28 (28 patients) episodes of FP from 478 episodes of PN during 2012-2017 (5.9% of all PN). The yearly episodes of FP were 3 from 39 (7.7%), 5 from 80 (6.3%), 5 from 88 (5.7%), 2 from 80 (2.5%), 6 from 86 (6.9%) and 7 from 105 (6.7%) of all PN in 2012, 2013, 2014, 2015, 2016 and 2017, respectively. The characteristics and outcomes of FP were shown in table 1.
Table 1: Characteristics and outcomes of patients on PD with FP
Characteristics Fungal peritonitis (N= 28)
Gender: Female 17 (60.7%)
Mean age at start PD in year (SD) 47.7 (14.7)
Mean age at the time of FP in year (SD) 50.39 (14.84)
Education level: primary school 14 (50%)
Diabetic status: non-diabetes 15 (53.6%)
Median PD duration in months (min, max) 30.34 (7.11, 108.66)
Primary episode of FP 15 (53.6%)
Outcomes of FP
Catheter removal and reinsertion 17 (60.7%)
Transfer to permanent hemodialysis 9 (32.2%)
Death 2 (7.1%)

Conclusion: The average frequency of FP in PD patients at Nakronpathom hospital was 6%. Higher than 50% of patients with FP were primary infection. Most of FP patients could be reinserted tenchkhoff catheter.

     
 
 
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