A population-based study on the incidence and aetiology of infectious complications in peritoneal dialysis in South Sweden
Tobijaszewska, Marta ; Martus, Giedre LU
; Sunnerhagen, Torgny
LU
; Segelmark, Mårten
LU
and Ljungquist, Oskar
LU
(2024)
In Infectious Diseases
56(3).
p.230-243
- Abstract
- Background: Peritonitis is a major cause of morbidity in peritoneal dialysis (PD) and an independent risk factor for elevated all-cause mortality. The aims of this study were to report the incidence, trend, aetiology, and antimicrobial susceptibility of PD-associated peritonitis and catheter-related infections in South Sweden between 2011–2020.
Methods: This population-based observational cohort study included all patients with PD between the years 2011–2020 in the county of Skåne. Data was accessed through the Swedish Renal Registry and the Department of Clinical Microbiology in Lund. Definitions issued by the International Society for Peritoneal Dialysis were implemented to assess PD-associated infections.
Results:... (More) - Background: Peritonitis is a major cause of morbidity in peritoneal dialysis (PD) and an independent risk factor for elevated all-cause mortality. The aims of this study were to report the incidence, trend, aetiology, and antimicrobial susceptibility of PD-associated peritonitis and catheter-related infections in South Sweden between 2011–2020.
Methods: This population-based observational cohort study included all patients with PD between the years 2011–2020 in the county of Skåne. Data was accessed through the Swedish Renal Registry and the Department of Clinical Microbiology in Lund. Definitions issued by the International Society for Peritoneal Dialysis were implemented to assess PD-associated infections.
Results: Medical records of 675 paediatric and adult PD patients were eligible for inclusion. Of those, 208 (31%) were female and the median age was 67 years (range 0-91). The overall rate of PD-peritonitis was 0.38 episodes per year at risk. Out of 484 episodes of peritonitis, 61% (n = 295) were caused by Gram-positive bacteria. There were 289 occurrences of exit site infections, of which most (n = 152, 53%) were Gram-positive. Tunnel infections occurred in 16 episodes and were caused by S. aureus or P. aeruginosa. Among all isolates, 37 were of MRSE, four of ESBL-producing E. coli, and one of MRSA.
Conclusion: The crude rate of PD-peritonitis was stable during the study period. Gram-positive bacteria dominated the microbial aetiology, and antibiotic resistance was limited. It is important to monitor the aetiology, incidence, and resistance rates in PD-associated infections, to base empirical antibiotic regimens and facilitate prevention. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/4f2b4cdc-bbe7-49fb-9142-2a7a8a280807
- author
- Tobijaszewska, Marta
; Martus, Giedre
LU
; Sunnerhagen, Torgny
LU
; Segelmark, Mårten
LU
and Ljungquist, Oskar
LU
- organization
- publishing date
- 2024-03
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Infectious Diseases
- volume
- 56
- issue
- 3
- pages
- 230 - 243
- publisher
- Informa Healthcare
- external identifiers
-
- pmid:38100541
- scopus:85179749499
- ISSN
- 2374-4235
- DOI
- 10.1080/23744235.2023.2292133
- language
- English
- LU publication?
- yes
- id
- 4f2b4cdc-bbe7-49fb-9142-2a7a8a280807
- date added to LUP
- 2023-12-15 20:26:40
- date last changed
- 2024-03-04 16:24:36
@article{4f2b4cdc-bbe7-49fb-9142-2a7a8a280807,
abstract = {{Background: Peritonitis is a major cause of morbidity in peritoneal dialysis (PD) and an independent risk factor for elevated all-cause mortality. The aims of this study were to report the incidence, trend, aetiology, and antimicrobial susceptibility of PD-associated peritonitis and catheter-related infections in South Sweden between 2011–2020.<br/><br/>Methods: This population-based observational cohort study included all patients with PD between the years 2011–2020 in the county of Skåne. Data was accessed through the Swedish Renal Registry and the Department of Clinical Microbiology in Lund. Definitions issued by the International Society for Peritoneal Dialysis were implemented to assess PD-associated infections.<br/><br/>Results: Medical records of 675 paediatric and adult PD patients were eligible for inclusion. Of those, 208 (31%) were female and the median age was 67 years (range 0-91). The overall rate of PD-peritonitis was 0.38 episodes per year at risk. Out of 484 episodes of peritonitis, 61% (n = 295) were caused by Gram-positive bacteria. There were 289 occurrences of exit site infections, of which most (n = 152, 53%) were Gram-positive. Tunnel infections occurred in 16 episodes and were caused by S. aureus or P. aeruginosa. Among all isolates, 37 were of MRSE, four of ESBL-producing E. coli, and one of MRSA.<br/><br/>Conclusion: The crude rate of PD-peritonitis was stable during the study period. Gram-positive bacteria dominated the microbial aetiology, and antibiotic resistance was limited. It is important to monitor the aetiology, incidence, and resistance rates in PD-associated infections, to base empirical antibiotic regimens and facilitate prevention.}},
author = {{Tobijaszewska, Marta and Martus, Giedre and Sunnerhagen, Torgny and Segelmark, Mårten and Ljungquist, Oskar}},
issn = {{2374-4235}},
language = {{eng}},
number = {{3}},
pages = {{230--243}},
publisher = {{Informa Healthcare}},
series = {{Infectious Diseases}},
title = {{A population-based study on the incidence and aetiology of infectious complications in peritoneal dialysis in South Sweden}},
url = {{https://lup.lub.lu.se/search/files/166839953/A_population-based_study_on_the_incidence_and_aetiology_of_infectious_complications_in_peritoneal_dialysis_in_South_Sweden.pdf}},
doi = {{10.1080/23744235.2023.2292133}},
volume = {{56}},
year = {{2024}},
}