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Peritoneal Dialysis-Related Infection in the Older Population
#MMPMID26702009
Szeto CC
Perit Dial Int
2015[Nov]; 35
(6
): 659-62
PMID26702009
show ga
With appropriate training and adequate support, it is possible to keep the
peritonitis rate of elderly peritoneal dialysis (PD) patients at a highly
respectable level. In general, the latest recommendations for the treatment and
prevention of PD-related infections by the International Society for Peritoneal
Dialysis (ISPD) are applicable to older patients. However, there are minor
differences in the spectrum of causative organisms amongst elderly patients, with
coagulase-negative staphylococcal species (CNSS) and Enterobacteriaceae species
being more common in elderly patients. Elderly PD patients who develop
peritonitis have an excessive short-term mortality, and, amongst elderly
patients, a high burden of comorbid load increases the risk of relapsing
episodes. In addition, technical problems, social difficulties, and concomitant
comorbid diseases often have profound effects on the risk of peritonitis as well
as its management.
|Age Factors
[MESH]
|Aged
[MESH]
|Aged, 80 and over
[MESH]
|Anti-Bacterial Agents/*therapeutic use
[MESH]
|Catheter-Related Infections/drug therapy/*prevention & control
[MESH]
free
free
free
