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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
2
|
| pubmed:dateCreated |
1990-9-7
|
| pubmed:abstractText |
In view of the increasing concern about hospital-acquired methicillin resistance, we examined the sensitivities and outcome of staphylococcal infections related to outpatient peritoneal dialysis over a 5-year period. Data on all episodes of peritonitis (n = 360) and catheter infections (n = 507) were gathered prospectively from January 1984 to December 1988. The numbers of patients on peritoneal dialysis each year ranged from 136 in 1984 to 109 in 1987. Fifteen methicillin-resistant staphylococcal infections (MRSI) related to outpatient peritoneal dialysis occurred. Three were due to methicillin-resistant Staphylococcus aureus found in infected exit sites (2.3% of all S aureus catheter infections). Two of these infections occurred in a continuous ambulatory peritoneal dialysis (CAPD) patient who carried methicillin-resistant S aureus in his nares. The other 12 methicillin-resistant organisms were coagulase-negative staphylococci that caused peritonitis. There was a significant increase in the percentage of episodes of coagulase-negative staphylococci peritonitis caused by methicillin-resistant organisms; from 5% (3/57) in 1984 through 1986 to 28% (9/32) in 1987 through 1988 (P less than 0.005). In view of the high percentage of coagulase-negative staphylococci peritonitis that is methicillin-resistant, vancomycin rather than cephalosporins should be used for initial treatment.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:chemical | |
| pubmed:status |
MEDLINE
|
| pubmed:month |
Aug
|
| pubmed:issn |
0272-6386
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
16
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
142-6
|
| pubmed:dateRevised |
2004-11-17
|
| pubmed:meshHeading |
pubmed-meshheading:2382651-Humans,
pubmed-meshheading:2382651-Methicillin,
pubmed-meshheading:2382651-Middle Aged,
pubmed-meshheading:2382651-Outpatient Clinics, Hospital,
pubmed-meshheading:2382651-Penicillin Resistance,
pubmed-meshheading:2382651-Peritoneal Dialysis,
pubmed-meshheading:2382651-Peritoneal Dialysis, Continuous Ambulatory,
pubmed-meshheading:2382651-Peritonitis,
pubmed-meshheading:2382651-Staphylococcal Infections
|
| pubmed:year |
1990
|
| pubmed:articleTitle |
Methicillin-resistant staphylococcal infections in an outpatient peritoneal dialysis program.
|
| pubmed:affiliation |
Department of Medicine, University of Pittsburgh, PA 15261.
|
| pubmed:publicationType |
Journal Article
|