NGHIÊN CỨU TÌNH HÌNH VÀ KẾT QUẢ ĐIỀU TRỊ VIÊM PHÚC MẠC Ở BỆNH NHÂN SUY THẬN MẠN GIAI ĐOẠN CUỐI LỌC MÀNG BỤNG TẠI BỆNH VIỆN ĐA KHOA TRUNG TÂM AN GIANG

Abstract

Background: Peritonitis is still one of the most important complications of continuous ambulatory peritoneal dialysis (CAPD). Objectives: Determine the incidence peritonitis and the results of the treatment of peritonitis in chronic renal failure in continuous ambulatory peritoneal dialysis at An Giang Central General Hospital in 2018-2019. Subjects and methods: A crosssectional descriptive study in 141 patients diagnosed end-stage chronic renal failure were treated with continuous ambulatory peritoneal dialysis in An Giang Center General Hospital from March 2018 to March 2019. Results: The peritonitis rate of the year of patients with peritonitis in continuous ambulatory peritoneal dialysis was 0.035 episodes per patient - year. The peritonitis rate of CAPD by age:  the age group <40 was 23.4%, group in age> 60 was 50%. The peritonitis rate of in CAPD by residence: 71.42% in rural areas and 28.57% in urban areas. The peritonitis rate of in CAPD was highest in the group from 24 months to 48 months was 38.09% Positive culture rate was 19% (including 9.5% gram positive and 7.1% gram negative bacteria). The cultured bacterial peritonitis was Enterobacter, fungal, Staphylococcus aureus, Streptococcus alpha. Results of treatment of peritonitis: The average time in clear fluid is from 3 to 5 days. Clinical response of 1 times peritonitis treatment was 83.3%, Clinical response of 2 times peritonitis treatment was 75%, Clinical response of 3,4,5 times peritonitis treatment had a response of 100.0%. Conclusion: The peritonitis rate of CAPD was 0.035 episodes per patients- year. Treatment results of peritonitis in patients with continuous outpatient peritoneal dialysis achieved very high results.