Continuous ambulatory peritoneal dialysis associated with peritonitis in older patients

John Valente, William Rappaport

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

Our recent experience with peritonitis in patients over the age of 55 years undergoing continuous ambulatory peritoneal dialysis between 1979 and 1989 is reviewed. Thirty-seven patients in this age group underwent Tenckhoff catheter insertion. Severe catheter-related peritonitis occurred at a rate of 1.41 episodes per patient per year. Overall, there were 61 episodes of peritonitis in 31 patients, with an overall mortality rate of 7%. When systemic signs of sepsis were present, this rate rose to 25%. All deaths were associated with fungal, pseudomonal, or polymicrobial infections. Management of these infections may require aggressive measures including repeated laparotomy for control of sepsis.

Original languageEnglish (US)
Pages (from-to)579-581
Number of pages3
JournalAmerican journal of surgery
Volume159
Issue number6
DOIs
StatePublished - Jan 1 1990

ASJC Scopus subject areas

  • Surgery

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