{"created":"2023-05-15T16:32:02.067441+00:00","id":3696,"links":{},"metadata":{"_buckets":{"deposit":"eaed1f72-fa79-4b73-a23b-875f6e8199bd"},"_deposit":{"created_by":2,"id":"3696","owners":[2],"pid":{"revision_id":0,"type":"depid","value":"3696"},"status":"published"},"_oai":{"id":"oai:nagasaki-u.repo.nii.ac.jp:00003696","sets":["29:30:1713167819629:253"]},"author_link":["15081","15083","15080","15078","15079","15082","15077","15084","15076"],"item_3_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2016-09","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"4","bibliographicPageEnd":"151","bibliographicPageStart":"145","bibliographicVolumeNumber":"60","bibliographic_titles":[{"bibliographic_title":"Acta medica Nagasakiensia"}]}]},"item_3_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"Background: Although peritoneal dialysis (PD) is beneficial for patients with end-stage renal diseases (ESRD), there are some critical complications. PD-related peritonitis accounts for about 30% of all cases of catheter removal and transition to hemodialysis. We investigated the incidence, causative bacteria, and risk factors of PD-related peritonitis and peritonitis-related withdrawal in patients treated in the Nagasaki University Hospital. Methods: Subjects were 43 PD patients in the Nagasaki University Hospital observed between January 1, 2008 and December 31, 2012. We established the incidence of PD-related peritonitis, investigated causative bacteria and culture-negative peritonitis rates, and examined potential risk factors, including laboratory data obtained at the commencement of PD. Results: 20 episodes of peritonitis occurred in 12 patients during the observation period, and the incidence of PD-related peritonitis was one episode per 62 patient-months. The culture-negative peritonitis rate was 10%. In the isolated causative bacteria, 55% were Gram-positive cocci and 25% were Gram-negative rods. Two episodes were associated with methicillin-resistant Staphylococcus aureus (MRSA), and each episode was accompanied with an exit-site infection. PD catheter removal caused by PD-related peritonitis occurred in 4 patients. As a result of investigation for association between PD-related peritonitis and patient’s factors including laboratory data, sex, age, and cause of ESRD, the patients who experienced PD-related peritonitis had significantly lower hemoglobin levels at the initiation of PD.\nConclusions: PD-related peritonitis remains an important complication of PD. We found that low hemoglobin level at the commencement\nof PD was a risk factor of PD-related peritonitis. In addition, MRSA peritonitis was a risk factor of peritonitis-related\nwithdrawal. Thus, improvement in anemia might be important to prevent PD-related peritonitis. It is also important to prevent\nMRSA-associated peritonitis to avoid technical failure of PD.","subitem_description_type":"Abstract"}]},"item_3_description_64":{"attribute_name":"引用","attribute_value_mlt":[{"subitem_description":"Acta medica Nagasakiensia, 60(4), pp.145-151; 2016","subitem_description_type":"Other"}]},"item_3_publisher_33":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"Nagasaki University School of Medicine"}]},"item_3_source_id_10":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AA00508430","subitem_source_identifier_type":"NCID"}]},"item_3_source_id_7":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"00016055","subitem_source_identifier_type":"ISSN"}]},"item_3_text_62":{"attribute_name":"sortkey","attribute_value_mlt":[{"subitem_text_value":"03"}]},"item_3_text_63":{"attribute_name":"出版者別言語","attribute_value_mlt":[{"subitem_text_value":"長崎大学医学部"}]},"item_3_version_type_16":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"Abe, Shinichi"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Obata, Yoko"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Sato, Shuntaro"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Muta, Kumiko"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Kitamura, Mineaki"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Kawasaki, Satoko"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Hirose, Misaki"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Uramatsu, Tadashi"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Nishino, Tomoya"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2020-12-21"}],"displaytype":"detail","filename":"ActMed60_145.pdf","filesize":[{"value":"1.1 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"ActMed60_145.pdf","url":"https://nagasaki-u.repo.nii.ac.jp/record/3696/files/ActMed60_145.pdf"},"version_id":"922b155e-a1a6-4205-b147-e4f1e5386e9a"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"peritoneal dialysis","subitem_subject_scheme":"Other"},{"subitem_subject":"peritonitis","subitem_subject_scheme":"Other"},{"subitem_subject":"methicillin-resistant Staphylococcus aureus","subitem_subject_scheme":"Other"},{"subitem_subject":"exit-site infection","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"Causative bacteria and risk factors for peritoneal dialysis-related peritonitis: A retrospective study","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Causative bacteria and risk factors for peritoneal dialysis-related peritonitis: A retrospective study"}]},"item_type_id":"3","owner":"2","path":["253"],"pubdate":{"attribute_name":"公開日","attribute_value":"2016-10-14"},"publish_date":"2016-10-14","publish_status":"0","recid":"3696","relation_version_is_last":true,"title":["Causative bacteria and risk factors for peritoneal dialysis-related peritonitis: A retrospective study"],"weko_creator_id":"2","weko_shared_id":2},"updated":"2024-04-16T05:27:46.962018+00:00"}