Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis · 2018
Non-Tuberculous Mycobacterial Infections Related to Peritoneal Dialysis.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
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Inoue Hiroyuki, Washida Naoki, Morimoto Kohkichi, Shinozuka Keisuke, Kasai Takahiro, Uchiyama Kiyotaka, Tokuyama Hirobumi, Wakino Shu, Itoh Hiroshi
Аннотация
Most infections related to peritoneal dialysis (PD) are caused by common bacteria, and non-tuberculous mycobacteria are rare. The clinical characteristics and prognosis of PD patients with non-tuberculous mycobacterial infections were investigated at our hospital. Non-tuberculous mycobacteria were detected in 11 patients (exit-site infection, tunnel infection, and peritonitis in 3, 5, and 3 patients, respectively). Mycobacterium fortuitum, Mycobacterium chelonae, and Mycobacterium abscessus were identified in 4, 2, and 2 patients, respectively. Most patients with peritonitis or tunnel infection required catheter removal. During the study period (2007 - 2017), peritonitis occurred in 44 patients, including 3 patients (6.8%) with non-tuberculous mycobacterial peritonitis. When non-tuberculous mycobacterial infection occurs, multi-agent antibiotic therapy, unroofing surgery, and/or catheter replacement should be performed to prevent peritonitis.