Author/Editor		Bren, AF; Guček, A; Kajtna-Koselj, M; Mlinšek, D; Koselj, M; Kandus, A
Title		Peritonitis in diabetics on CAPD-a 10-year overview
Type		članek
Source		Diabetologia Croatica
Vol. and No.		Letnik 10, št. 4
Publication year		1994
Volume		str. 37-9
Language		eng
Abstract		The aim of our retrospective study was to analyze the frequency and severity of peritonitis, its causative microbes and the predisposing factors in diabetic patients with end-stage renal disease treated by CAPD. In the last 10 years, 65 diabetics aged 25 to 80 years were included into the CAPD program, previously using a single bag system and in the last year and a half using a twin bag system. In mild forms of peritonitis, two of the three symptoms or signs were present: abdominal discomfort or pain, cloudy peritoneal effluent with leucocyte number exceeding 100/mm3 and/or positive microbiological finding. In severe forms of peritonitis, fever, nausea, vomiting and dialysate flow disturbances were also present. The overall frequency of peritonitis was 1.7/pts year on CAPD and, on the average, it was higher in type I diabetics (2.1/year) than in type II diabetics (1.5/year). Severe forms of peritonitis were more frequently present in the former group (p less th. 0.01). The frequency of peritonitis was higher in patients who performed CAPD alone (2.2/year) than in those had help in its performance (1.6/year). The most common microbes isolated from the peritoneal effluent in peritonitis were Staphylococci, Corynebacteria and Acinetobacter. We conclude that peritonitis is an important complication in diabetic patients treated by CAPD. Gram positive microbes are the most frequent causative agents, and type I diabetes presents a higher risk than type II diabetes. Advancement in the CAPD technique, i.e. the use of disconnect twin bag system, resulted in a decrease in peritonitis.
Descriptors		PERITONITIS PERITONEAL DIALYSIS, CONTINUOUS AMBULATORY RISK FACTORS DIABETES MELLITUS, INSULIN-DEPENDENT PERITONITIS