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We initiated a therapeutic program of continuous ambulatory peritoneal dialysis for patients with chronic renal failure. Our program resulted in many episodes of peritonitis arising from contamination due to the technical aspects of the procedure. Microbiologic evaluation showed that 73% of 97 episodes were culture positive, with gram-positive organisms causing most of the cases, especially early in dialysis. Gram-negative rods tended to occur later. Gram stains of dialysate effluent resulted in a disappointingly low yield of only 9% positivity. Cell counts were a dependable indicator of the presence of peritoneal inflammation and also of therapeutic success. Most patients responded well to intraperitoneal cephalothin, 125 mg/L for 10 to 14 d. The occurrence of peritonitis resulted in 0.93 years of hospitalization during the total of 15.45 patient-years on dialysis, which essentially negated the financial advantages of this method of treatment of chronic renal failure. For this to be a successful mode of therapy, advances in the prevention of peritonitis must be made.
J Rubin, and
W A Rogers, and
H M Taylor, and
E D Everett, and
B F Prowant, and
L V Fruto, and
K D Nolph
January 1993,
Revista do Instituto de Medicina Tropical de Sao Paulo,
J Rubin, and
W A Rogers, and
H M Taylor, and
E D Everett, and
B F Prowant, and
L V Fruto, and
K D Nolph
May 1986,
CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne,
J Rubin, and
W A Rogers, and
H M Taylor, and
E D Everett, and
B F Prowant, and
L V Fruto, and
K D Nolph
January 1991,
Enfermedades infecciosas y microbiologia clinica,
J Rubin, and
W A Rogers, and
H M Taylor, and
E D Everett, and
B F Prowant, and
L V Fruto, and
K D Nolph
April 1986,
Scottish medical journal,
J Rubin, and
W A Rogers, and
H M Taylor, and
E D Everett, and
B F Prowant, and
L V Fruto, and
K D Nolph
December 1986,
L'union medicale du Canada,
J Rubin, and
W A Rogers, and
H M Taylor, and
E D Everett, and
B F Prowant, and
L V Fruto, and
K D Nolph
June 1982,
The Journal of antimicrobial chemotherapy,
J Rubin, and
W A Rogers, and
H M Taylor, and
E D Everett, and
B F Prowant, and
L V Fruto, and
K D Nolph
January 2010,
JNMA; journal of the Nepal Medical Association,
J Rubin, and
W A Rogers, and
H M Taylor, and
E D Everett, and
B F Prowant, and
L V Fruto, and
K D Nolph
January 1988,
Comprehensive therapy,
J Rubin, and
W A Rogers, and
H M Taylor, and
E D Everett, and
B F Prowant, and
L V Fruto, and
K D Nolph
November 1984,
The Journal of pediatrics,
J Rubin, and
W A Rogers, and
H M Taylor, and
E D Everett, and
B F Prowant, and
L V Fruto, and
K D Nolph
March 1990,
Postgraduate medical journal,
