|
KMID : 0359919920110030286
|
|
Korean Journal of Nephrology
1992 Volume.11 No. 3 p.286 ~ p.290
|
|
|
Treatment of Refractory Exit-Site infection with Externalization of External Cuff of CAPD Catheter
|
|
유효민
김홍수/최규헌/하성규/이호영/한대석
|
|
|
Abstract
|
|
|
Continuous ambulatory peritoneal dialysis (CAPD) is a well established treatment modality for renal replacement therapy in end stage renal disease. The infectious complications associated with CAPD have been major problems in the management of
CAPD. Of
those the exit-site or cuff infection has become an important cause of catheter removal. To evaluate whether the externalization of external cuff is effective treatment in the patients with refractory exit site infection, we reviewed 11 patients
treated
with externalization of the external cuff due to refractory exit site infection not responsive to adequate antibiotic therapies more than 4 weeks.
This review of cases included 1987~1991 in the Yonsei University Medical College Hospital and special attention was given to catheter survival after externalization.
@ES The results are summarized as follows;
@EN 1) The male to female ratio was 6 : 5. And the mean age was 38.8 years.
2) the mean duration of CAPD before externalization was 38.6 months, and the underlying renal diseases were chronic glomerulonephritis (36%). Diabetic nelopathy (18%) and others.
3) Of the organisms isolated from exit site infections. Staphylococcus awreus was the most common before and after externalization wit 54% and 27% of all culture positive infections respectively.
4) the mean catheter survival after externalization was 11.7±8.1 months (mean±SD) from 3 to 30 months. The annual incidence of exit infection and peritonitis were 1.07±0.66 and 0.80±0.72 before externalization and 0.41±0.75 and 1.67±2.27
after
externalization respectively.
The refractory exit-site infection in CAPD patients have been treted by removal of infected catheter. However, with the above results, we found that externalization of the external cuff in those patients can maintain the catheter for a relatively
long
period(mean 11.2 months, range 3~30 months). After the externalization of external cuff, the patients were clinically stable without a significant increase in exit-site infection or peritonitis.
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
  
|