| BRIEF COMMUNICATION |
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| Year : 2009 | Volume
: 27
| Issue : 1 | Page : 59-61 |
The risk factors and outcome of fungal peritonitis in continuous ambulatory peritoneal dialysis patients
E Indhumathi1, V Chandrasekaran1, D Jagadeswaran1, M Varadarajan2, G Abraham1, P Soundararajan1
1 Department of Nephrology, Sri Ramachandra University, No. 1, Ramachandra Nagar, Porur, Chennai-600 116, Tamil Nadu, India
2 Department of Microbiology, Sri Ramachandra University, No. 1, Ramachandra Nagar, Porur, Chennai-600 116, Tamil Nadu, India
Correspondence Address:
E Indhumathi
Department of Nephrology, Sri Ramachandra University, No. 1, Ramachandra Nagar, Porur, Chennai-600 116, Tamil Nadu
India
 Source of Support: None, Conflict of Interest: None  | Check |
PMID: 19172063 
Aim: To determine the risk factors and outcome of fungal peritonitis in continuous ambulatory peritoneal dialysis (CAPD) patients over a 7-year period. Patients and Methods: This retrospective study was conducted on 30 cases of fungal peritonitis in CAPD patients during a 7-year period (2000-2007). The diagnosis was based on elevated CAPD effluent count and isolation of fungi. Patients were evaluated for previous episode of bacterial peritonitis. Results: The incidence of fungal peritonitis was 16.2%. Age varied between 8 and 75 years, with a mean age of 57 years. Twenty-three were males (76.7%) and seven were females (23.3%). Seventeen patients (56.6%) had previous episodes of bacterial peritonitis that was treated with multiple antibiotics. The common fungus was Candida species (50%). CAPD catheter removal and initiation of antifungal therapy was done for all patients. Reinsertion was done for three (10%) patients. Mortality rate was 20%. Conclusion: Patients with previous bacterial peritonitis and antibiotic usage are at greater risk of developing fungal peritonitis.
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