Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Original article / research
Year : 2018 | Month : August | Volume : 12 | Issue : 8 | Page : DC06 - DC09

Fungal Peritonitis in Continuous Ambulatory Peritoneal Dialysis (CAPD) Patients

Anju Verma, Praveen Nalla Mothu, Usha Kalawat, Siva Kumar Vishnubhotla

1. Assistant Professor, Department of Microbiology, SVIMS, Tirupati, Andhra Pradesh, India. 2. Senior Resident, Department of Nephrology, SVIMS, Tirupati, Andhra Pradesh, India. 3. Professor, Department of Microbiology, SVIMS, Tirupati, Andhra Pradesh, India. 4. Professor, Department of Nephrology, SVIMS, Tirupati, Andhra Pradesh, India.

Correspondence Address :
Dr. Usha Kalawat,
Professor, Department of Microbiology, SVIMS, Tirupati-517507, Andhra Pradesh, India.
E-mail: ukalawat@yahoo.com

Abstract

Introduction: Continuous Ambulatory Peritoneal Dialysis (CAPD) is a well established treatment modality for End Stage Renal Disease (ESRD) which has advantages in providing mobility and more independence to the patient but at the same time some complication are more commonly associated with it. Fungal Peritonitis (FP) is one of such complications which although rare, are a serious concern with failure of the technique and fatal outcome.

Aim: To analyse the incidence, associated risk factors and the outcome of FP in CAPD patients.

Materials and Methods: This was a ten year (2008-2017) retrospective study conducted on 180 cases ESRD patients who were on continuous ambulatory peritoneal dialysis. Case sheets were retrieved from medical record department section and data was analysed.

Results: The incidence of FP was 10%, with female’s preponderance (55.5%). The most common fungus isolated was Candida albicans in 61.1% patients (11), followed by Aspergillus niger 22.2% (4), Curvularia lunata 11.1% (2) and Fusarium spp in 5.5% (1) in descending order. On the diagnosis of FP, catheter was removed immediately and the patient was treated appropriately. Re-insertion was done in 22.2% of patients, whereas 33.3% were patients were shifted to haemodialysis and 44.4% patients expired. Filamentous fungi were the cause for 75% of the mortality.

Conclusion: Candida spp remains the most common cause of FP but filamentous fungi are more commonly associated with fatal outcome.

Keywords

Aspergillus, Candida, Renal failure

How to cite this article :

Anju Verma, Praveen Nalla Mothu, Usha Kalawat, Siva Kumar Vishnubhotla. FUNGAL PERITONITIS IN CONTINUOUS AMBULATORY PERITONEAL DIALYSIS (CAPD) PATIENTS. Journal of Clinical and Diagnostic Research [serial online] 2018 August [cited: 2018 Jul 16 ]; 12:DC06-DC09. Available from
http://jcdr.net/back_issues.asp?issn=0973-709x&year=2018&month=August&volume=12&issue=8&page=DC06-DC09&id=11862

DOI and Others

DOI: 10.7860/JCDR/2018/36261.11862

Date of Submission: Mar 10, 2018
Date of Peer Review: Apr 09, 2018
Date of Acceptance: May 04, 2018
Date of Publishing: Aug 01, 2018

FINANCIAL OR OTHER COMPETING INTERESTS: None.

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