American Journal of Kidney Diseases
Volume 55, Issue 1 , Pages 121-131 , January 2010

Polymicrobial Peritonitis in Peritoneal Dialysis Patients in Australia: Predictors, Treatment, and Outcomes

  • Katherine Barraclough, MD

      Affiliations

    • Australia and New Zealand Dialysis and Transplant Registry, Adelaide, Australia
    • Department of Renal Medicine, University of Queensland at Princess Alexandra Hospital, Brisbane, Australia
    • ,
  • Carmel M. Hawley, MMedSci

      Affiliations

    • Australia and New Zealand Dialysis and Transplant Registry, Adelaide, Australia
    • Department of Renal Medicine, University of Queensland at Princess Alexandra Hospital, Brisbane, Australia
    • ,
  • Stephen P. McDonald, PhD

      Affiliations

    • Australia and New Zealand Dialysis and Transplant Registry, Adelaide, Australia
    • Department of Nephrology and Transplantation Services, University of Adelaide at the Queen Elizabeth Hospital, Adelaide, Australia
    • ,
  • Fiona G. Brown, PhD

      Affiliations

    • Australia and New Zealand Dialysis and Transplant Registry, Adelaide, Australia
    • Department of Nephrology, Monash Medical Center, Clayton, Victoria, Australia
    • ,
  • Johan B. Rosman, MD

      Affiliations

    • Australia and New Zealand Dialysis and Transplant Registry, Adelaide, Australia
    • Renal Department, Middlemore Hospital, Otahuhu, Auckland, New Zealand
    • ,
  • Kathryn J. Wiggins, MD

      Affiliations

    • Australia and New Zealand Dialysis and Transplant Registry, Adelaide, Australia
    • University of Melbourne Department of Medicine, St Vincent's Hospital, Fitzroy, Victoria, Australia
    • ,
  • Kym M. Bannister, MD

      Affiliations

    • Australia and New Zealand Dialysis and Transplant Registry, Adelaide, Australia
    • Department of Nephrology, Royal Adelaide Hospital, Adelaide, Australia
    • ,
  • David W. Johnson, PhD

      Affiliations

    • Australia and New Zealand Dialysis and Transplant Registry, Adelaide, Australia
    • Department of Renal Medicine, University of Queensland at Princess Alexandra Hospital, Brisbane, Australia
    • Corresponding Author InformationAddress correspondence to David W. Johnson, PhD, Department of Nephrology, Level 2, ARTS Bldg, Princess Alexandra Hospital, Ipswich Rd, Woolloongabba, Brisbane Qld 4102, Australia

Received 11 May 2009 ,Accepted 21 August 2009.

References 

  1. Harris DC, Yuill EJ, Byth K, Chapman JR, Hunt C. Twin- versus single-bag disconnect systems: infection rates and cost of continuous ambulatory peritoneal dialysis. J Am Soc Nephrol. 1996;7:2392–2398
  2. Strippoli GF, Tong A, Johnson D, Schena FP, Craig JC. Catheter type, placement and insertion techniques for preventing peritonitis in peritoneal dialysis patients. Cochrane Database Syst Rev. 2004;CD004680
  3. Strippoli GF, Tong A, Johnson D, Schena FP, Craig JC. Catheter-related interventions to prevent peritonitis in peritoneal dialysis: a systematic review of randomized, controlled trials. J Am Soc Nephrol. 2004;15:2735–2746
  4. Johnson DW, Chang S, Excell L, Livingston B, Bannister K, McDonald SP. Peritoneal dialysis. In:  McDonald SP,  Excell L editor. ANZDATA Registry Report 2006. Adelaide, South Australia: Australian and New Zealand Dialysis and Transplant Registry; 2007;p. 87–103
  5. Vas S. Changing picture of peritonitis in peritoneal dialysis. Am J Kidney Dis. 2000;36:1057–1058
  6. Zelenitsky S, Barns L, Findlay I, et al. Analysis of microbiological trends in peritoneal dialysis-related peritonitis from 1991 to 1998. Am J Kidney Dis. 2000;36:1009–1013
  7. Kim GC, Korbet SM. Polymicrobial peritonitis in continuous ambulatory peritoneal dialysis patients. Am J Kidney Dis. 2000;36:1000–1008
  8. Keane WF, Alexander SR, Bailie GR, et al. Peritoneal dialysis-related peritonitis treatment recommendations: 1996 update. Perit Dial Int. 1996;16:557–573
  9. Prowant B, Nolph K, Ryan L, Twardowski Z, Khanna R. Peritonitis in continuous ambulatory peritoneal dialysis: analysis of an 8-year experience. Nephron. 1986;43:105–109
  10. Rubin J, Oreopoulos DG, Lio TT, Mathews R, de Veber GA. Management of peritonitis and bowel perforation during chronic peritoneal dialysis. Nephron. 1976;16:220–225
  11. Kiernan L, Finkelstein FO, Kliger AS, et al. Outcome of polymicrobial peritonitis in continuous ambulatory peritoneal dialysis patients. Am J Kidney Dis. 1995;25:461–464
  12. Holley JL, Bernardini J, Piraino B. Polymicrobial peritonitis in patients on continuous peritoneal dialysis. Am J Kidney Dis. 1992;19:162–166
  13. Szeto CC, Chow KM, Wong TY, Leung CB, Li PK. Conservative management of polymicrobial peritonitis complicating peritoneal dialysis—a series of 140 consecutive cases. Am J Med. 2002;113:728–733
  14. Piraino B, Bailie GR, Bernardini J, et al. Peritoneal dialysis-related infections recommendations: 2005 update. Perit Dial Int. 2005;25:107–131
  15. Goldstein H. Multilevel Statistical Models. 3rd ed.. London: Hodder Arnold; 2003;
  16. Sepandj F, Ceri H, Gibb A, Read R, Olson M. Minimum inhibitory concentration (MIC) versus minimum biofilm eliminating concentration (MBEC) in evaluation of antibiotic sensitivity of gram-negative bacilli causing peritonitis. Perit Dial Int. 2004;24:65–67
  17. Troidle L, Gorban-Brennan N, Kliger A, Finkelstein F. Differing outcomes of gram-positive and gram-negative peritonitis. Am J Kidney Dis. 1998;32:623–628
  18. Szeto CC, Li PK, Leung CB, Yu AW, Lui SF, Lai KN. Xanthomonas maltophilia peritonitis in uremic patients receiving continuous ambulatory peritoneal dialysis. Am J Kidney Dis. 1997;29:91–95
  19. Bunke CM, Brier ME, Golper TA. Outcomes of single organism peritonitis in peritoneal dialysis: gram negatives versus gram positives in the Network 9 Peritonitis Study. Kidney Int. 1997;52:524–529
  20. Miles R, Hawley CM, McDonald SP, et al. Predictors and outcomes of fungal peritonitis in peritoneal dialysis patients. Kidney Int. 2009;76(6):622–628

 Originally published online as doi:10.1053/j.ajkd.2009.08.020 on November 23, 2009.

PII: S0272-6386(09)01190-1

doi: 10.1053/j.ajkd.2009.08.020

American Journal of Kidney Diseases
Volume 55, Issue 1 , Pages 121-131 , January 2010

Article Tools