Peritonitis in Children on Chronic Peritoneal Dialysis: The Experience of a Large National Pediatric Cohort

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MetadadosDescriçãoIdioma
Autor(es): dc.contributorUniversidade Estadual Paulista (UNESP)-
Autor(es): dc.creatorPonce, Daniela-
Autor(es): dc.creatorDe Moraes, Thyago Proença-
Autor(es): dc.creatorPecoits-Filho, Roberto-
Autor(es): dc.creatorFigueiredo, Ana Elizabeth-
Autor(es): dc.creatorBarretti, Pasqual-
Data de aceite: dc.date.accessioned2021-03-11T00:56:19Z-
Data de disponibilização: dc.date.available2021-03-11T00:56:19Z-
Data de envio: dc.date.issued2018-12-11-
Data de envio: dc.date.issued2018-12-11-
Data de envio: dc.date.issued2018-04-01-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.1159/000484344-
Fonte completa do material: dc.identifierhttp://hdl.handle.net/11449/179443-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/179443-
Descrição: dc.descriptionBackground: We performed this study to evaluate the incidence, risk factors, microbiology, treatment, and outcome of peritonitis in pediatric Peritoneal dialysis (PD) patients at a nationwide prospective study. Methodology: Patients younger than 18 years recruited in the BRAZPD II study from 2004 to 2011, who presented their first peritonitis episode, were included in the study. Results: We found 125 first episodes of peritonitis in 491 children PD patients (0.43 episodes/patient-year). Patients free of peritonitis episode constituted 75.6% in 1 year. Culture-negative episodes were very high (59.2%) and gram-positive (GP) bacteria were the most commonly found organisms (58.8%). First-generation cephalosporin was the initial choice to cover GP (40.5%) and aminoglycosides was the most prescribed antibiotics used for gram-negative agents (27.5%). Treatment failure was 26.4%. Technique failure (TF) occurred in 12.1% and peritonitis was the main cause (65.1%). Pseudomonas (p = 0.04) and negative cultures (p < 0.001) were identified as predictors of TF. Conclusion: Peritonitis remains a common complication of PD in children and negative cultures and pseudomonas had a negative impact on TF.-
Formato: dc.format118-125-
Idioma: dc.languageen-
Relação: dc.relationBlood Purification-
Relação: dc.relation0,789-
Relação: dc.relation0,789-
Direitos: dc.rightsopenAccess-
Palavras-chave: dc.subjectChildren-
Palavras-chave: dc.subjectPeritoneal dialysis-
Palavras-chave: dc.subjectPeritonitis and outcome-
Título: dc.titlePeritonitis in Children on Chronic Peritoneal Dialysis: The Experience of a Large National Pediatric Cohort-
Tipo de arquivo: dc.typelivro digital-
Aparece nas coleções:Repositório Institucional - Unesp

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