与腹膜透析相关的非结核分枝杆菌感染。

Hiroyuki Inoue, Naoki Washida, Kohkichi Morimoto, Keisuke Shinozuka, Takahiro Kasai, Kiyotaka Uchiyama, Hirobumi Tokuyama, Shu Wakino, Hiroshi Itoh
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引用次数: 8

摘要

大多数与腹膜透析(PD)相关的感染是由常见细菌引起的,非结核分枝杆菌是罕见的。探讨我院PD合并非结核分枝杆菌感染患者的临床特点及预后。11例患者检出非结核分枝杆菌(出口部位感染3例,隧道感染5例,腹膜炎3例)。幸运分枝杆菌4例,龟分枝杆菌2例,脓肿分枝杆菌2例。大多数腹膜炎或隧道感染患者需要拔除导管。在研究期间(2007 - 2017),44例患者发生腹膜炎,其中3例(6.8%)为非结核性分枝杆菌性腹膜炎。当发生非结核性分枝杆菌感染时,应进行多药抗生素治疗、开腹手术和/或导管置换术以预防腹膜炎。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Non-Tuberculous Mycobacterial Infections Related to Peritoneal Dialysis.
Most infections related to peritoneal dialysis (PD) are caused by common bacteria, and non-tuberculous mycobacteria are rare. The clinical characteristics and prognosis of PD patients with non-tuberculous mycobacterial infections were investigated at our hospital. Non-tuberculous mycobacteria were detected in 11 patients (exit-site infection, tunnel infection, and peritonitis in 3, 5, and 3 patients, respectively). Mycobacterium fortuitum, Mycobacterium chelonae, and Mycobacterium abscessus were identified in 4, 2, and 2 patients, respectively. Most patients with peritonitis or tunnel infection required catheter removal. During the study period (2007 – 2017), peritonitis occurred in 44 patients, including 3 patients (6.8%) with non-tuberculous mycobacterial peritonitis. When non-tuberculous mycobacterial infection occurs, multi-agent antibiotic therapy, unroofing surgery, and/or catheter replacement should be performed to prevent peritonitis.
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