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.
['Inoue|Hiroyuki|H|', 'Washida|Naoki|N|', 'Morimoto|Kohkichi|K|', 'Shinozuka|Keisuke|K|', 'Kasai|Takahiro|T|', 'Uchiyama|Kiyotaka|K|', 'Tokuyama|Hirobumi|H|', 'Wakino|Shu|S|', 'Itoh|Hiroshi|H|']
D000328:Adult D000368:Aged D000369:Aged, 80 and over D000900:Anti-Bacterial Agents D002408:Catheters, Indwelling D020878:Device Removal D005260:Female D006801:Humans D007676:Kidney Failure, Chronic D008297:Male D008875:Middle Aged D009165:Mycobacterium Infections, Nontuberculous D010530:Peritoneal Dialysis D010538:Peritonitis D012189:Retrospective Studies
Peritoneal dialysis peritonitis non-tuberculous mycobacteria