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Perit Dial Int 28(3): 232-235
2008
© 2008 International Society for Peritoneal Dialysis
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PD IN THE DEVELOPING WORLD

PERITONITIS IN PERITONEAL DIALYSIS PATIENTS IN URUGUAY

Liliana Gadola1,2, Lucía Orihuela1, Daniel Pérez3, Teresa Gómez4, Laura Solá5, Liliana Chifflet1, Mariela Mautone6, Eugenia Torres1 and Grisel Rodriguez2

1 Department of Nephrology: Hospital de Clínicas, 2 CASMU,3 SEINE,4 Uruguayana,5 Hospital Maciel,6 Hospital Americano, Montevideo, Uruguay

Correspondence to: L. Gadola, Sociedad Uruguaya de Nefrología - Nefrología, 18 de Julio 2103/802 Montevideo 11200, Uruguay.
palil{at}chasque.net

Uruguay is a South American country (3241003 inhabitants) where renal replacement treatment is universally available. The aim of this study was to analyze the incidence and outcome of peritonitis, and the causative organisms and their sensitivity, in order to recommend an empiric initial antibiotic treatment. A retrospective descriptive study of all peritonitis during the period 2004-2005 was performed (144 peritonitis, 44% due to gram-positive bacteria). We conclude that the high prevalence of methicillin-resistant coagulase-negative staphylococci justifies the use of vancomycin in the national empiric initial antibiotic protocols.

KEY WORDS: Peritonitis; bacteriology; treatment; Uruguay.

Received 1 July 2007; accepted 10 March 2008.






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