Non-Tuberculous Mycobacterial Infections Related to Peritoneal Dialysis-Reference-Cited by-同舟云学术

Non-Tuberculous Mycobacterial Infections Related to Peritoneal Dialysis

Published:2017-03-01 Issue:2 Volume:38 Page:147-149
ISSN:0896-8608
Container-title:Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
language:en
Short-container-title:Perit Dial Int

Author:

Inoue Hiroyuki¹,Washida Naoki²³,Morimoto Kohkichi³,Shinozuka Keisuke¹,Kasai Takahiro¹,Uchiyama Kiyotaka¹,Tokuyama Hirobumi¹,Wakino Shu¹,Itoh Hiroshi¹

Affiliation:

1. Division of Endocrinology, Metabolism and Nephrology Department of Internal Medicine, School of Medicine, Keio University, Tokyo, Japan

2. Department of Nephrology School of Medicine, International University of Health and Welfare, Narita, Chiba, Japan

3. Department of Integrated Renal Replacement Therapy School of Medicine, Keio University, Tokyo, Japan

Abstract

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.

Publisher

SAGE Publications

Subject

Nephrology,General Medicine

Link

http://journals.sagepub.com/doi/pdf/10.3747/pdi.2017.00172

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