Peritonitis in Children Receiving Continuous Ambulatory Peritoneal Dialysis in Northeast Thailand
Suwannee Wisanuyotin MD*, Piyawadee Lertchanaruengrith MD*, Apichat Jiravuttipong MD*
Affiliation : * Department of Pediatric, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
Objective : To clarify the peritonitis rate and to characterize the differences between the peritonitis and non-peritonitis group
in ESRD children using continuous ambulatory peritoneal dialysis (CAPD) in Khon Kaen, Thailand.
Material and Method: The authors reviewed the medical records of ESRD children under 15 years old at the time of PD
catheter placement, who received CAPD in Srinagarind Hospital, Faculty of Medicine, Khon Kaen University between 1994
and 2007.
Results : Eighteen male and fifteen female patients were identified. Their mean age at the time of PD catheter placement was
11.48 + 3.12 years (range, 3.52-15.67). Twenty patients (11 male and 9 female) were complicated with 47 episodes of
peritonitis during 400.44 patient-months. The peritonitis rate was one episode every 8.52 patient-months. The three most
frequent clinical presentations were cloudy effluent (78.72%), abdominal pain (76.60%) and fever (63.83%). Negative
effluent culture was 42.55%. Staphylococcus aureus and Enterococcus species were the two most frequent causative
organisms. The dialysis duration and serum creatinine level were significantly different between the peritonitis and non-
peritonitis groups.
Conclusion : Peritonitis frequently occurred in ESRD children treated by CAPD in Northeast Thailand, particularly from
gram-positive organisms. The dialysis duration and serum creatinine level at the time of catheter placement were associated
with PD peritonitis.
Keywords : Peritonitis, Peritoneal dialysis, Children, End-stage renal disease
