scholarly journals Specific increase in interleukin-8 concentrations in dialysis fluid of patients with peritonitis receiving continuous ambulatory peritoneal dialysis.

1995 ◽  
Vol 48 (2) ◽  
pp. 115-119 ◽  
Author(s):  
Y C Ko ◽  
N Mukaida ◽  
T Kasahara ◽  
S Muto ◽  
K Matsushima ◽  
...  
1983 ◽  
Vol 65 (5) ◽  
pp. 539-545 ◽  
Author(s):  
A. Heaton ◽  
D. G. Johnston ◽  
J. M. Burrin ◽  
H. Orskov ◽  
M. K. Ward ◽  
...  

1. The effect on hormonal status and intermediary metabolism of a single 6 h dialysis cycle at two different concentrations of dialysate glucose was investigated in six patients on continuous ambulatory peritoneal dialysis. 2. The basal blood glucose level was elevated by 0.5 mmol/l, associated with a threefold increase in basal serum insulin compared with seven normal controls. Blood glucose and serum insulin rose further during dialysis, particularly with hypertonic (215 mmol of glucose/l) dialysis fluid and levels remained high for 6 h after the onset. 3. Plasma glucagon concentrations were 2.7-fold increased and did not decrease to normal during dialysis. 4. Concentrations of the gluconeogenic precursors lactate and alanine were consistently raised, and levels of circulating non-esterified fatty acids and ketone bodies were lowered, particularly with hypertonic dialysis fluid. 5. The long-term effects of sustained hyper-insulinaemia, including suppression of lipolysis and ketogenesis, require further investigation.


1996 ◽  
Vol 27 (3) ◽  
pp. 409-415 ◽  
Author(s):  
Carola W.H. de Fijter ◽  
Liem P. Oe ◽  
Erik C.J.M. Heezius ◽  
Ab J.M. Donker ◽  
Henri A. Verbrugh

1989 ◽  
Vol 102 (3) ◽  
pp. 365-378 ◽  
Author(s):  
M. A. Beard-Pegler ◽  
C. L. Gabelish ◽  
E. Stubbs ◽  
C. Harbour ◽  
J. Robson ◽  
...  

SUMMARYThe predominance of coagulase-negative staphylococci as normal skin flora is thought to be a factor in their association with episodes of peritonitis in patients undergoing continuous ambulatory peritoneal dialysis. We investigated the prevalence of peritonitis-associated strains on the skin of 28 patients undergoing peritoneal dialysis. Coagulase-negative staphylococci were the most frequently isolated organisms. comprising 47% of peritoncal dialysis fluid isolates and 59% of body site isolates. A total of 142 coagulase-negative staphylococci were speciated. tested for their antimicrobial sensitivity and slime production. and identified by phage typing and plasmid-profile analysis.Staphylococcus epidermidiswas the most commonly identified species from both peritoncal dialysis fluid (73%) and body sites (53%). Multiple antibiotic resistance was common, and the greater proportion of isolates were resistant to methicillin: 63·6% of peritoncal dialysis fluid isolates and 61·7% of body-site isolates.isolates.S. haemolyticusisolates were significantly more resistant to methicillin than other species. By phage typing and plasmid-profile analysis it was shown that peritonitis was rarely caused by skincolonizing strains. In only 3 of 14 patients were peritonitis-associated strains isolated as skin colonizers, and no patients developed peritonitis due to organisms previously isolated as skin colonizers.


1999 ◽  
Vol 37 (9) ◽  
pp. 3074-3075 ◽  
Author(s):  
Carmen Betriu ◽  
Francisco Coronel ◽  
Pilar Martin ◽  
Juan J. Picazo

We report a case of peritonitis in a patient undergoing continuous ambulatory peritoneal dialysis. Haemophilus parainfluenzaebiotype III was recovered in pure culture from dialysis fluid.


1983 ◽  
Vol 3 (3) ◽  
pp. 144-145 ◽  
Author(s):  
Dayl J. Flournoy ◽  
Fred A. Perryman ◽  
Syed M.H. Qadri

Clinical bacterial isolates (105 colony forming units/mi) were inoculated into sterile unused and used continuous ambulatory peritoneal dialysis (CAPD) fluid, incubated for 24 hours at 3SOC and observed for growth as evidenced by turbidity. The CAPD fluids also were tested for selected chemical constituent concentrations. The main differences in sterile unused and used fluids were: pH, 5.25 (unused) vs 7.60–8.62 (used); glucose, 1350–3680 vs 407–1227 mg/dl; potassium, 0 vs 2.0–4.2 mEq/l and phosphorous, 0 and 2.5–5.5 mg/dl respectively. When isolates of Candido albicans (10 strains), Enterobacter sp. (2), Escherichia coli (2), Group D Enterococci (2), Klebsiella pneumoniae (2), Proteus vulgaris (2), Pseudomonas aeruginosa (30), Pseudomonas sp. (2), Serratia marcescens (2), Staphylococcus aureus (2), S. epidermidis (2) and alphahemolytic streptococci (10) were tested against the fluids, none of the isolates grew in unused fluid but all grew in used fluid, which had been in the peritoneal cavity for as little as one and one-halfhours. Although the organisms did not grow in unused fluid, they were still viable at their original concentrations as deterrnined by quantitative subcultures.


1991 ◽  
Vol 6 (8) ◽  
pp. 574-581 ◽  
Author(s):  
N. Topley ◽  
R. Mackenzie ◽  
M. M. Petersen ◽  
M. J. Beavis ◽  
D. Williams ◽  
...  

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