The impact of cat-related peritonitis on peritoneal dialysis outcomes: Results from the RDPLF.

IF 2.7 3区 医学 Q2 UROLOGY & NEPHROLOGY
Peritoneal Dialysis International Pub Date : 2024-11-01 Epub Date: 2023-11-28 DOI:10.1177/08968608231210130
Quentin Bellanger, Antoine Lanot, Thierry Lobbedez, Clémence Bechade, Annabel Boyer
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引用次数: 0

Abstract

Background: Cat ownership is common in peritoneal dialysis (PD) patients, even with recent guidelines recommending avoiding domestic animals during PD exchanges to limit the risk of peritonitis due to pet contamination. We analysed the outcomes of patients who experienced cat-related peritonitis compared with those who experienced peritonitis due to other causes.

Methods: This retrospective study based on the Registre de Dialyse Peritoneale de Langue Française data analysed the outcomes of 52 patients experiencing cat-related peritonitis from the beginning of the database (1986) until 21 June 2022 compared with those of 208 matched patients experiencing peritonitis due to other causes. A Cox regression model examined the association between cat-related peritonitis and the composite end point of death in PD or transfer to haemodialysis (HD), death in PD and transfer to HD.

Results: Among patients with an episode of cat-related peritonitis, 11 (21.1%) died, 19 (36.5%) were transferred to HD and 11 (21.1%) were transplanted. In the group with other causes of peritonitis, these numbers were 67 (32%), 81 (39%) and 26 (12.5%), respectively. In multivariate survival analysis, age (hazard ratio (HR): 1.39; 95% confidence interval (CI): 1.13-1.70) and use of assisted PD (HR: 4.07; 95% CI: 2.11-7.86) were associated with the risk of death. Having experienced cat-related peritonitis was not significantly associated with any of the three outcomes (death, transfer to HD or PD cessation).

Conclusions: Patients on PD should be aware that cats may cause a peritoneal infection, which results in similar consequences to those of other causes of peritonitis. However, pets at home should not be considered a contraindication to PD.

猫相关性腹膜炎对腹膜透析结果的影响:来自RDPLF的结果。
背景:猫在腹膜透析(PD)患者中很常见,即使最近的指南建议在PD交换期间避免饲养家畜以限制宠物污染引起的腹膜炎的风险。我们分析了猫相关性腹膜炎患者与其他原因引起的腹膜炎患者的结果。方法:本回顾性研究基于法国法语腹膜透析登记的数据,分析了从数据库开始(1986年)到2022年6月21日的52例猫相关性腹膜炎患者的结果,并与208例其他原因引起的腹膜炎患者的结果进行了比较。Cox回归模型检验了猫相关性腹膜炎与PD死亡或转移到血液透析(HD)、PD死亡和转移到HD的复合终点之间的关系。结果:发生猫相关性腹膜炎的患者死亡11例(21.1%),转移至HD 19例(36.5%),移植11例(21.1%)。其他原因腹膜炎组分别为67例(32%)、81例(39%)和26例(12.5%)。在多变量生存分析中,年龄(风险比(HR): 1.39;95%置信区间(CI): 1.13-1.70)和辅助PD的使用(HR: 4.07;95% CI: 2.11-7.86)与死亡风险相关。经历过猫相关性腹膜炎与三种结果(死亡、转移到HD或PD停止)中的任何一种都没有显著相关性。结论:PD患者应意识到猫可能引起腹膜感染,其结果与其他原因引起的腹膜炎相似。然而,家中养宠物不应被视为PD的禁忌症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Peritoneal Dialysis International
Peritoneal Dialysis International 医学-泌尿学与肾脏学
CiteScore
6.00
自引率
17.90%
发文量
69
审稿时长
6-12 weeks
期刊介绍: Peritoneal Dialysis International (PDI) is an international publication dedicated to peritoneal dialysis. PDI welcomes original contributions dealing with all aspects of peritoneal dialysis from scientists working in the peritoneal dialysis field around the world. Peritoneal Dialysis International is included in Index Medicus and indexed in Current Contents/Clinical Practice, the Science Citation Index, and Excerpta Medica (Nephrology/Urology Core Journal). It is also abstracted and indexed in Chemical Abstracts (CA), as well as being indexed in Embase as a priority journal.
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