Abstract

ACO-LUNA, Jesús Alberto; SOLANO-RAMIREZ, Angélica; SALDANA-GUERRERO, María Patricia  and  ENRIQUEZ-GUERRA, Miguel Ángel. PERITONITIS ASSOCIATED TO PERITONEAL DIALYSIS ON ADULT AGE OF A HOSPITAL FROM PUEBLA, MEXICO. Rev Cient Cienc Méd [online]. 2019, vol.22, n.1, pp.24-28. ISSN 2077-3323.

Introduction: Peritoneal dialysis is a treatment widely used as a renal replacement therapy in patients with Chronic Kidney Disease, one of its most frequent complications is peritonitis associated mainly with poor technique in the realization of it. Objective: To determine the incidence of peritonitis associated with peritoneal dialysis in a second level hospital in the state of Puebla, Mexico. Material and Methods: An observational, descriptive, transectional study was conducted. We reviewed clinic files of patients who had renal replacement therapy as continuous ambulatory peritoneal dialysis attended in 2017. Results: In 2017, 18 patients were treated with a diagnosis of peritonitis associated with peritoneal dialysis. 11 men and seven women with an age range of 20 to 71 years.The incidence rate was 52 per 100 patients, the rate of peritonitis was 1,33 episodes per patient per year.The symptoms present in the patients were pain, cloudy effluent liquid.The main cause of Chronic Kidney Disease was diabetic nephropathy.The most frequent etiologic agent was Staphylococcus aureus. The average time to develop peritonitis was 11,3 months. One patient required catheter replacement with adequate function and five patients changed to hemodialysis. Conclusion: The incidence rate of peritonitis associated with peritoneal dialysis is high than expected. In the selection of continuous ambulatory peritoneal dialysis, continuous training for the patient and caregiver should be insisted on to decrease the frequency of this complication.

Keywords : Peritonitis; Peritoneal dyalisis; Staphylococcus aureus.

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