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PredicateObject
rdf:type
lifeskim:mentions
pubmed:dateCreated
1997-1-30
pubmed:abstractText
Rates of peritoneal dialysis-associated catheter infections and peritonitis were compared in continuous ambulatory peritoneal dialysis patients grouped on the basis of their response to hepatitis B vaccination with Engerix to assess the usefulness of vaccination in predicting patients at risk for peritonitis and catheter infections. Engerix was given intramuscularly in a dose of 40 micrograms at 0, 1, 2, and 6 months. Sixty-three percent (20/32) of patients developed hepatitis B surface antibodies (converters). Converters and nonconverters were not different in proportions of women, whites, diabetics, or Staphylococcus aureus nasal carriers; mean age and mean months on peritoneal dialysis were also not different. Overall, peritonitis (0.46/year vs 0.33/year) and catheter infection (0.53/year vs 0.54/year) rates were not different among converters and nonconverters, respectively. Nonconverters had higher S. aureus peritonitis rates (0.12/year vs 0.04/year, p < 0.05) but lower S. epidermidis peritonitis rates (0.03/year vs 0.18/year, p < 0.02). However, when the patient with recurrent S. epidermidis peritonitis was excluded from analysis, S. epidermidis peritonitis rates among converters and nonconverters were not different (0.13/year vs 0.03/year, respectively, p < 0.09). These data suggest that the development of surface antibodies with hepatitis B vaccination does not predict a reduced risk of S. epidermidis peritonitis. The possibility that nonconverters are more likely to be S. aureus nasal carriers and therefore at greater risk of S. aureus peritonitis deserves further study.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:issn
1197-8554
pubmed:author
pubmed:issnType
Print
pubmed:volume
12
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
218-20
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed:year
1996
pubmed:articleTitle
Does the response to hepatitis B vaccination predict CAPD-associated infections?
pubmed:affiliation
Renal-Electrolyte Division, University of Pittsburgh Medical Center, Pennsylvania, USA.
pubmed:publicationType
Journal Article