TY - JOUR
T1 - Non-tuberculous mycobacterial infections related to peritoneal dialysis
AU - Inoue, Hiroyuki
AU - Washida, Naoki
AU - Morimoto, Kohkichi
AU - Shinozuka, Keisuke
AU - Kasai, Takahiro
AU - Uchiyama, Kiyotaka
AU - Tokuyama, Hirobumi
AU - Wakino, Shu
AU - Itoh, Hiroshi
N1 - Publisher Copyright:
© 2018 International Society for Peritoneal Dialysis.
PY - 2018/3/1
Y1 - 2018/3/1
N2 - 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.
AB - 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.
KW - Non-tuberculous mycobacteria
KW - Peritoneal dialysis
KW - Peritonitis
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U2 - 10.3747/pdi.2017.00172
DO - 10.3747/pdi.2017.00172
M3 - Article
C2 - 29563276
AN - SCOPUS:85044394175
SN - 0896-8608
VL - 38
SP - 147
EP - 149
JO - Peritoneal Dialysis International
JF - Peritoneal Dialysis International
IS - 2
ER -