PT  - JOURNAL ARTICLE
AU  - Somia M. Alfayez
AU  - Shahd M. Alsaqoub
AU  - Abeer Y. Qattan
AU  - Mada A. Alghamdi
AU  - Dalia S. Elfeky
AU  - Fadel A. Alrowaie
AU  - Doaa S. Aljasser
AU  - Sadiqa B. Syed
TI  - Peritoneal dialysis related infections in a tertiary care hospital in Riyadh, Saudi Arabia
AID  - 10.15537/smj.2019.2.23898
DP  - 2019 Feb 01
TA  - Saudi Medical Journal
PG  - 147--151
VI  - 40
IP  - 2
4099  - http://smj.org.sa/content/40/2/147.short
4100  - http://smj.org.sa/content/40/2/147.full
SO  - Saudi Med J2019 Feb 01; 40
AB  - Objectives: To detect the incidence of and risk factors for infections among patients with end-stage renal disease (ESRD) undergoing peritoneal dialysis (PD).Methods: A retrospective cohort study was conducted at the PD unit of King Fahad Medical City. End-stage renal disease patients above the age of 12 years who were undergoing PD management between January 2006 and March 2016 were included.Results: One hundred PD patients were enrolled in the study and examined over a total observation period of 2,553 patient-months. The leading ESRD etiology was hypertension (26.3%). The mean duration of PD was 28.05 months. A total of 45 patients developed 101 episodes of technique-related infections (TRIs). Peritonitis represented the majority of these episodes (90 episodes), with an overall rate of one episode per 28.3 patient-months. TRIs were mostly caused by coagulase-negative staphylococci. A total of 12 patients developed non-technique related infections (NTRIs). There was a statistically significant difference between patients with TRI and non-infected patients regarding the presence of diabetes and duration of dialysis. No peritonitis-related deaths were noted. In total, 21 patients continued on PD and 18 patients were shifted to hemodialysis (HD).Conclusion: In our setting, ESRD patients undergoing PD are more susceptible to TRIs than NTRIs. Diabetes increases the risk of developing TRIs. The high incidence of coagulase-negative staphylococcal TRI suggests touch contamination.