KEJADIAN PERITONITIS PADA PASIEN CONTINUOUS AMBULATORY PERITONEAL DIALYSIS: IDENTIFIKASI MIKROORGANISME DAN SENSITIFITAS ANTIBIOTIK

Abstract

Patients treated with Continuous Ambulatory Peritoneal Dialysis (CAPD) are constantly exposed to microbial invasion
of the peritoneal cavity and rapid microbiological diagnosis of peritonitis is essential due to Hospitalization and imposes a
signicant burden of morbidity. The aims of this study were to enumerate the association between microorganisms, sensitity,
and resistence of antibiotic on CAPD patients with clinical peritonitis.
We collected data through medical records by the number of CAPD patients with clinical peritonitis from June 2004 until
June 2009. The study was analysis with one-way ANOVA. We found 23 patients clinical peritonitis out of 77 CAPD patients,
with insidence was 14% per-year, aged 14 ? 65 y (15M; 8F). The chronic pyelonephritic was a leading (16/23) cause of end
stages renal disease. Each patients underwent HD prior (5 ? 60 months) to CAPD, with survival time was 2 ? 51 months. Out of
23 patients, 4 were returned to hemodialisis, 15 were died, due to cardiogenic shock 46.7%. Aseptic peritonitis was 31.3%, and
the common microorganism was staphylococcus 18.8%. Peritoneal !uid test showed mean score of sensitivity were tetracycline
22.93, cipro!oxacin 19.36, piperacillin-tazobactam 17.36, thrimetropin/sulfamethoxazole 16.5, fosfomycin 15.78, consecutively
and the rest were resistent. Staphylococus was strongly related to insidence peritonitis, and tetracycline was the most highly
sensitive antibiotic in CAPD patients.