Characteristics of fungal peritonitis in patients on peritoneal dialysis reported from Nakhonpathom hospital

Thanaporn Imchai ¹, Bunpring Jaroenpattrawut ¹, Wanasri Wawngam², Siribha Changsirikulchai³

Department of Medicine,Nakhonpathom hospital ¹, Sirindhorn College of Public Health Khon Kaen², Renal Division,Faculty of Medicine, Srinakharinwirot niversity ³

Purpose: This study aims to calculate the frequency and describe characteristics of FP in patients on peritoneal dialysis (PD) from Nakhonpathom hospital.

Method: We analyzed data of PD patients who had peritonitis (PN) during 2012-2017 and were registered in the Database of Peritoneal dialysis in Excel (DPEX).

Result: There were 28 (28 patients) episodes of FP from 478 episodes of PN during 2012-2017 (5.9% of all PN). The yearly episodes of FP were 3 from 39 (7.7%), 5 from 80 (6.3%), 5 from 88 (5.7%), 2 from 80 (2.5%), 6 from 86 (6.9%) and 7 from 105 (6.7%) of all PN in 2012, 2013, 2014, 2015, 2016 and 2017, respectively. The characteristics and outcomes of FP were shown in table 1.
Table 1: Characteristics and outcomes of patients on PD with FP
Characteristics Fungal peritonitis (N= 28)
Gender: Female 17 (60.7%)
Mean age at start PD in year (SD) 47.7 (14.7)
Mean age at the time of FP in year (SD) 50.39 (14.84)
Education level: primary school 14 (50%)
Diabetic status: non-diabetes 15 (53.6%)
Median PD duration in months (min, max) 30.34 (7.11, 108.66)
Primary episode of FP 15 (53.6%)
Outcomes of FP
Catheter removal and reinsertion 17 (60.7%)
Transfer to permanent hemodialysis 9 (32.2%)
Death 2 (7.1%)

Conclusion: The average frequency of FP in PD patients at Nakronpathom hospital was 6%. Higher than 50% of patients with FP were primary infection. Most of FP patients could be reinserted tenchkhoff catheter.