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腹膜透析相关性腹膜炎的病原学特征及危险因素分析

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目的 探讨腹膜透析相关性腹膜炎(PDAP)的病原学特征及危险因素.方法 选取 2019 年 5 月至 2023 年 5 月在我院行腹膜透析的 166 例患者,分为腹膜炎组(n = 52)和非腹膜炎组(n = 114).采集腹膜炎组的腹部透析液进行病原菌培养,分析发生PDAP的危险因素.结果 52 例腹膜透析液样本中 43 例患者细菌培养呈阳性,病原菌总计 44 株,其中革兰氏阳性菌(以表皮葡萄球菌、金黄色葡萄球菌为主)29 株,革兰氏阴性菌 12 株和真菌 3 株.Logistic回归分析显示,合并糖尿病、Alb、K+和PTH是PDAP的危险因素(P<0.05).结论 PDAP的病原菌主要以革兰阳性菌为主,其中表皮葡萄球菌、金黄色葡萄球菌是最常见的病原菌;合并糖尿病、低白蛋白水平、高血钾和高甲状旁腺激素水平是患者发生PDAP的危险因素.
Analysis on Pathogenic Features and Risk Factors of Peritoneal Dialysis-Associated Peritonitis
Objective To explore the pathogenic features and risk factors of peritoneal dialysis-associated peritonitis(PDAP).Methods 166 patients with peritoneal dialysis in our hospital from May 2019 and May 2023 were selected and divided into peritonitis group(n =52)and non-peritonitis group(n =114).The abdominal dialysis fluids were collected from peritonitis group for pathogen cultivation and the risk factors for PDAP were analyzed.Results In 52 peritoneal dialysis fluid samples,43 patients showed positive bacterial culture,with a total of 44 strains of pathogenic bacteria,including 29 strains of Gram positive bacteria(mainly S.epidermidis and S.aureus),12 strains of Gram negative bacteria,and 3 strains of fungi.Logistic regression analysis showed that diabetes mellitus,Alb,K+and PTH were risk factors for PDAP(P<0.05).Conclusions The pathogens of PDAP are mainly Gram-positive bacteria,with S.epidermidis and S.aureus being the most common pathogens.Diabetes mellitus,low Alb,high blood potassium,and high PTH are risk factors for occurrence of PDAP.

Peritoneal dialysisPeritonitisPathogenic featureRisk factor

程创业、刘中宪、宋琼

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新乡市第一人民医院肾病风湿免疫科,河南新乡 453000

腹膜透析 腹膜炎 病原学特征 危险因素

2024

临床医学工程
国家医疗保健器具工程技术研究中心

临床医学工程

影响因子:0.193
ISSN:1674-4659
年,卷(期):2024.31(1)
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