Fungal Peritonitis in Children Treated with Peritoneal Dialysis and Gastrostomy Feeding

Overview

Journal Pediatr Nephrol

Specialties Nephrology
Pediatrics

Date 1991 Sep 1

PMID 1911151

Citations 10

Authors

B Murugasu

S B Conley

J M Lemire

R J Portman

Affiliations

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Abstract

Feeding gastrostomies were placed in three children treated with chronic peritoneal dialysis at our center because of persistent, severe malnutrition and inadequate growth. Two had frequent fungal infections of the gastrostomy site and all three developed Candida peritonitis which occurred at 1 month, 2 months and 2 years after insertion of gastrostomy. Complications included multiple intra-abdominal adhesions, abscess formation and loss of peritoneal function necessitating transfer to hemodialysis. The presence of a gastrostomy may predispose to the development of fungal peritonitis with its high morbidity and should be avoided in children on chronic peritoneal dialysis.

Citing Articles

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Epidemiology of peritonitis following maintenance peritoneal dialysis catheter placement during infancy: a report of the SCOPE collaborative.

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Infectious outcomes following gastrostomy in children receiving peritoneal dialysis.

Prestidge C, Ronaldson J, Wong W, Stack M, Kara T Pediatr Nephrol. 2014; 30(5):849-54.

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Consensus guidelines for the prevention and treatment of catheter-related infections and peritonitis in pediatric patients receiving peritoneal dialysis: 2012 update.

Warady B, Bakkaloglu S, Newland J, Cantwell M, Verrina E, Neu A Perit Dial Int. 2012; 32 Suppl 2:S32-86.

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Fungal peritonitis in children on peritoneal dialysis.

Raaijmakers R, Schroder C, Monnens L, Cornelissen E, Warris A Pediatr Nephrol. 2006; 22(2):288-93.

PMID: 17111161 DOI: 10.1007/s00467-006-0289-x.

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