Peritonitis asociada a la diálisis peritoneal, 27 años de experiencia en un único centro, Medellín, Colombia
Peritoneal dialysis-related peritonitis: twenty-seven years of experience in a Colombian medical center
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"apellidos" => "Serna-Higuita" "email" => array:1 [ 0 => "lm.serna@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "affa" ] ] ] 7 => array:3 [ "nombre" => "Jorge E." "apellidos" => "Henao-Sierra" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "affc" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Servicio de Nefrología, Hospital Pablo Tobón Uribe, Medellín, Antioquia, Colombia, " "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "affa" ] 1 => array:3 [ "entidad" => "Servicio de Medicina Interna, Hospital San Vicente de Paúl, Medellín, Antioquia, Colombia, " "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "affb" ] 2 => array:3 [ "entidad" => "Servicio de Nefrología, Hospital San Vicente de Paúl, Medellín, Antioquia, Colombia, " "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "affc" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Peritoneal dialysis-related peritonitis: twenty-seven years of experience in a Colombian medical center" ] ] "pdfFichero" => "P1-E565-S4482-A12002.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:4 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec433259" "palabras" => array:1 [ 0 => "Latinoamérica" ] ] 1 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec433261" "palabras" => array:1 [ 0 => "Colombia" ] ] 2 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec433263" "palabras" => array:1 [ 0 => "Diálisis peritoneal" ] ] 3 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec433265" "palabras" => array:1 [ 0 => "Peritonitis" ] ] ] "en" => array:4 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec433260" "palabras" => array:1 [ 0 => "Latin America" ] ] 1 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec433262" "palabras" => array:1 [ 0 => "Colombia" ] ] 2 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec433264" "palabras" => array:1 [ 0 => "Peritoneal dialysis" ] ] 3 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec433266" "palabras" => array:1 [ 0 => "Peritonitis" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<p class="elsevierStylePara">Desde que se implementó por primera vez, la peritonitis ha sido la complicación más común de la diálisis peritoneal ambulatoria continua (DPAC) y sigue siendo la causa principal del fracaso del tratamiento y del cambio a otros tratamientos renales sustitutivos. En este estudio se presenta una serie colombiana de un total de 2469 episodios de peritonitis en 914 pacientes de una cohorte de 1497 pacientes en diálisis peritoneal (DP), que fueron sometidos a seguimiento durante casi tres décadas en un único centro. Se trata de la mayor serie de Latinoamérica de pacientes con peritonitis asociada con DP. <span class="elsevierStyleBold">Objetivo:</span> Describir la peritonitis asociada con la DPAC en una cohorte de pacientes sometidos a seguimiento durante 27 años en un único centro y comparar los resultados con los observados en otras partes del mundo. <span class="elsevierStyleBold">Diseño del estudio:</span> Estudio prospectivo de pacientes incidentes de DPAC desde marzo de 1981 hasta diciembre de 2008. <span class="elsevierStyleBold">Resultados:</span> En nuestro centro, la tasa de peritonitis ha permanecido estable entre 0,8 y 0,9 desde 1981 y no se han observado cambios significativos en los 27 años de seguimiento. La tasa es similar a la descrita actualmente por otros grandes centros de diálisis del mundo, que han registrado importantes mejoras en las últimas décadas. No se detectaron diferencias significativas en las muestras aisladas de microorganismos gram positivos o gram negativos u hongos en lo que respecta a los registrados en otras grandes series ni en la frecuencia de peritonitis con cultivo negativo. <span class="elsevierStyleBold">Conclusión:</span> En este estudio se presenta la mayor serie de Latinoamérica de pacientes con peritonitis asociada con DPAC con un total de 2469 pacientes. La tasa de peritonitis asociada con DPAC permaneció prácticamente inalterable durante las tres décadas de observación, a pesar de haber utilizado tres sistemas diferentes de DPAC. Nuestra hipótesis es que las condiciones socioeconómicas de los pacientes ingresados para diálisis peritoneal influyen en la tasa de peritonitis.</p> <p class="elsevierStylePara"> </p>" ] "en" => array:1 [ "resumen" => "<p class="elsevierStylePara">Peritonitis has been the most common complication of continues ambulatory peritoneal dialysis (CAPD) since it was first implemented, and it remains the leading cause of treatment failure and transfer to other renal replacement therapies. This study presents a Colombian series with a total of 2,469 episodes of peritonitis in 914 patients from a cohort of 1,497 patients on PD, who were followed for almost three decades at a single center. This is the largest Latin American series of patients with PD-related peritonitis. <span class="elsevierStyleBold">Objective:</span> To describe the CAPD-related peritonitis in a cohort of patients followed for 27 years at a single center, and compare the results with those observed elsewhere in the world. <span class="elsevierStyleBold">Study Design:</span> Prospective study of incident patients on CAPD from March 1981 to December 2008. <span class="elsevierStyleBold">Results:</span> In our center, the rate of peritonitis has been steady between 0.8 and 0.9 since 1981 and no significant changes have been noticed in the 27 years of follow up. The rate remains similar to that described nowadays by other large dialysis centers in the world, which have reported significant improvements in recent decades. No significant differences were found in the isolates of gram-positive and gram-negative microorganisms or fungi with respect to those reported by other large series, or in the frequency of culture-negative peritonitis. <span class="elsevierStyleBold">Conclusion</span><span class="elsevierStyleBold">:</span> This study presents the largest Latin American series of patients with CAPD-related peritonitis with a total of 2,469 patients. In this study, the rate of CAPD-related peritonitis remained almost the same during the three decades of observation despite having used three different CAPD systems. Our hypothesis is that the socio-economic conditions of the patients admitted for peritoneal dialysis influences the rate of peritonitis.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:52 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "Voinescu CG, Khanna R. Peritonitis in peritoneal dialysis. Int J Artif Organs 2002;25(4):249-60. <a href="http://www.ncbi.nlm.nih.gov/pubmed/12027134" target="_blank">[Pubmed]</a>" "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "Stablein DM, Nolph KD, Lindblad AS. Timing and characteristics of multiple peritonitis episodes: a report of the National CAPD Registry. 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 4 | 9 | 13 |
| 2024 Octubre | 80 | 48 | 128 |
| 2024 Septiembre | 70 | 31 | 101 |
| 2024 Agosto | 62 | 96 | 158 |
| 2024 Julio | 57 | 40 | 97 |
| 2024 Junio | 57 | 46 | 103 |
| 2024 Mayo | 65 | 33 | 98 |
| 2024 Abril | 56 | 55 | 111 |
| 2024 Marzo | 50 | 27 | 77 |
| 2024 Febrero | 60 | 44 | 104 |
| 2024 Enero | 42 | 31 | 73 |
| 2023 Diciembre | 53 | 39 | 92 |
| 2023 Noviembre | 51 | 32 | 83 |
| 2023 Octubre | 69 | 40 | 109 |
| 2023 Septiembre | 89 | 45 | 134 |
| 2023 Agosto | 92 | 27 | 119 |
| 2023 Julio | 104 | 32 | 136 |
| 2023 Junio | 63 | 20 | 83 |
| 2023 Mayo | 47 | 31 | 78 |
| 2023 Abril | 74 | 30 | 104 |
| 2023 Marzo | 84 | 26 | 110 |
| 2023 Febrero | 37 | 44 | 81 |
| 2023 Enero | 58 | 146 | 204 |
| 2022 Diciembre | 102 | 82 | 184 |
| 2022 Noviembre | 68 | 50 | 118 |
| 2022 Octubre | 61 | 67 | 128 |
| 2022 Septiembre | 55 | 49 | 104 |
| 2022 Agosto | 83 | 54 | 137 |
| 2022 Julio | 83 | 56 | 139 |
| 2022 Junio | 67 | 57 | 124 |
| 2022 Mayo | 60 | 47 | 107 |
| 2022 Abril | 92 | 66 | 158 |
| 2022 Marzo | 71 | 68 | 139 |
| 2022 Febrero | 56 | 76 | 132 |
| 2022 Enero | 40 | 56 | 96 |
| 2021 Diciembre | 59 | 62 | 121 |
| 2021 Noviembre | 70 | 52 | 122 |
| 2021 Octubre | 94 | 58 | 152 |
| 2021 Septiembre | 45 | 76 | 121 |
| 2021 Agosto | 67 | 69 | 136 |
| 2021 Julio | 29 | 49 | 78 |
| 2021 Junio | 32 | 30 | 62 |
| 2021 Mayo | 41 | 53 | 94 |
| 2021 Abril | 86 | 78 | 164 |
| 2021 Marzo | 59 | 50 | 109 |
| 2021 Febrero | 37 | 28 | 65 |
| 2021 Enero | 38 | 27 | 65 |
| 2020 Diciembre | 32 | 20 | 52 |
| 2020 Noviembre | 25 | 22 | 47 |
| 2020 Octubre | 36 | 14 | 50 |
| 2020 Septiembre | 20 | 26 | 46 |
| 2020 Agosto | 30 | 17 | 47 |
| 2020 Julio | 44 | 16 | 60 |
| 2020 Junio | 21 | 23 | 44 |
| 2020 Mayo | 45 | 26 | 71 |
| 2020 Abril | 47 | 38 | 85 |
| 2020 Marzo | 26 | 27 | 53 |
| 2020 Febrero | 43 | 47 | 90 |
| 2020 Enero | 40 | 33 | 73 |
| 2019 Diciembre | 36 | 44 | 80 |
| 2019 Noviembre | 36 | 46 | 82 |
| 2019 Octubre | 24 | 30 | 54 |
| 2019 Septiembre | 28 | 59 | 87 |
| 2019 Agosto | 17 | 33 | 50 |
| 2019 Julio | 53 | 48 | 101 |
| 2019 Junio | 38 | 40 | 78 |
| 2019 Mayo | 27 | 42 | 69 |
| 2019 Abril | 82 | 39 | 121 |
| 2019 Marzo | 61 | 36 | 97 |
| 2019 Febrero | 48 | 34 | 82 |
| 2019 Enero | 56 | 28 | 84 |
| 2018 Diciembre | 86 | 61 | 147 |
| 2018 Noviembre | 129 | 25 | 154 |
| 2018 Octubre | 85 | 21 | 106 |
| 2018 Septiembre | 53 | 48 | 101 |
| 2018 Agosto | 67 | 20 | 87 |
| 2018 Julio | 62 | 22 | 84 |
| 2018 Junio | 46 | 26 | 72 |
| 2018 Mayo | 69 | 16 | 85 |
| 2018 Abril | 48 | 22 | 70 |
| 2018 Marzo | 64 | 13 | 77 |
| 2018 Febrero | 39 | 14 | 53 |
| 2018 Enero | 45 | 14 | 59 |
| 2017 Diciembre | 51 | 8 | 59 |
| 2017 Noviembre | 51 | 21 | 72 |
| 2017 Octubre | 53 | 12 | 65 |
| 2017 Septiembre | 38 | 22 | 60 |
| 2017 Agosto | 41 | 36 | 77 |
| 2017 Julio | 44 | 11 | 55 |
| 2017 Junio | 45 | 17 | 62 |
| 2017 Mayo | 53 | 23 | 76 |
| 2017 Abril | 35 | 14 | 49 |
| 2017 Marzo | 42 | 13 | 55 |
| 2017 Febrero | 31 | 18 | 49 |
| 2017 Enero | 34 | 11 | 45 |
| 2016 Diciembre | 121 | 13 | 134 |
| 2016 Noviembre | 117 | 17 | 134 |
| 2016 Octubre | 140 | 21 | 161 |
| 2016 Septiembre | 254 | 12 | 266 |
| 2016 Agosto | 294 | 10 | 304 |
| 2016 Julio | 309 | 14 | 323 |
| 2016 Junio | 217 | 0 | 217 |
| 2016 Mayo | 195 | 0 | 195 |
| 2016 Abril | 176 | 0 | 176 |
| 2016 Marzo | 157 | 0 | 157 |
| 2016 Febrero | 179 | 0 | 179 |
| 2016 Enero | 157 | 0 | 157 |
| 2015 Diciembre | 175 | 0 | 175 |
| 2015 Noviembre | 147 | 0 | 147 |
| 2015 Octubre | 162 | 0 | 162 |
| 2015 Septiembre | 141 | 0 | 141 |
| 2015 Agosto | 133 | 0 | 133 |
| 2015 Julio | 152 | 0 | 152 |
| 2015 Junio | 89 | 0 | 89 |
| 2015 Mayo | 164 | 0 | 164 |
| 2015 Abril | 72 | 0 | 72 |
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