The Outcome and Return to Peritoneal Dialysis Following Fungal Peritonitis: A 9-Year Experience at Uttaradit Hospital, Thailand
Chindarat Natejumnong¹, Kamonthorn Jitthorn¹, Phetpailin Naka¹, Wipa Noithachang²
Affiliation : ¹ Peritoneal Dialysis Unit, Department of Medicine, Uttaradit Hospital, Uttaradit, Thailand; ² Mycology Laboratory Unit, Uttaradit Hospital, Uttaradit, Thailand
Background: Fungal peritonitis (FP) treatments are successful in patients undergoing continuous ambulatory peritoneal dialysis (CAPD). There were few studies that reported the success and outcome of reinitiated CAPD.
Objective: To characterize the clinical characteristics and outcomes of patients who developed FP after reinitiating CAPD.
Materials and Methods: A retrospective study was undertaken in the peritoneal dialysis center at Uttaradit Hospital in Uttaradit, Thailand. Between November 2008 and November 2018, all FP-related CAPD patients had their medical records examined.
Results: Five hundred eighteen CAPD patients were enrolled. Twenty-eight bouts of FP occurred in 28 patients, with nine caused by Candida species and 19 caused by filamentous fungi. FP was responsible for 6.5% of all peritonitis occurrences. Sixteen of the 28 patients successfully resumed peritoneal dialysis, while 12 did not. Three patients died, one dropped out, two experienced technical failure, and six were switched to hemodialysis. All patients who resumed peritoneal dialysis had a 94 percent 1-year technical survival rate.
Conclusion: In regions where CAPD patients have trouble obtaining hemodialysis maintenance, more than half (57%) of FP patients can resume peritoneal dialysis under carefully selected social and physical conditions.
Received 30 October 2023 | Revised 17 September 2025 | Accepted 22 September 2025
DOI: 10.35755/jmedassocthai.2025.11.863-869-00499
Keywords : CAPD; Fungal peritonitis
