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KMID : 0351219930250040343
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Korean Journal of Infectious Diseases
1993 Volume.25 No. 4 p.343 ~ p.349
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우준희
김기업/김홍수/한동철/이상구/황승덕/이희발
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Abstract
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CAPD has established itself as and alternative therapeutic modality to hemodialysis in the treatment of patients with end stage renal disease. Peritonitis in CAPD patients, despite a continuing decrease in frequency, remains as a major
complication
and
the leading of CAPD failure. Polymicrobial bacteremia is an infection caused by two or more microbials in blood representing 6-13% of all bacteremia with variable mortalities from 21 to 54 percent. In Korea the mortality of polymicrobial
bacteremia
was
reported to be 34%.
We retrospectively analyzed data from twenty one patients with the polymicrobial peritonitis during CAPD to evaluate the clinical characteristics that may predict polymicrobial peritonitis and the mortality rate.
Even though there were no unique clinical features to predict the occurrence of polymicrobial peritonitis during CAPD, the mortality rate in the patients with polymicrobial peritonitis was significantly higher than that in the peritonitis caused
by
singular bacterium(9.5% vs 0.9%).
We conclude that attention must be paid to the polymicrobial peritonitis during CAPD because of high mortalitv in the absence of distinguishing clinical features.
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KEYWORD
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