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Article: Polymicrobial outbreak of intermittent peritoneal dialysis peritonitis during external wall renovation at a dialysis center

TitlePolymicrobial outbreak of intermittent peritoneal dialysis peritonitis during external wall renovation at a dialysis center
Authors
Issue Date2001
PublisherMultimed, Inc. The Journal's web site is located at http://pdiconnect.com
Citation
Peritoneal Dialysis International, 2001, v. 21 n. 3, p. 296-301 How to Cite?
Abstract◆ Objective: To investigate an outbreak of peritonitis in intermittent peritoneal dialysis (IPD) patients. ◆ Design: An outbreak investigation was performed to identify the etiology of the polymicrobial outbreak, and a retrospective case-control study was conducted to assess the risk factors for development of peritonitis. ◆ Setting: Renal dialysis center. ◆ Patients: Ten episodes of peritonitis occurred in 8 of 61 patients over a 6-month period in which 669 IPD procedures were analyzed. ◆ Interventions: Field visit to renal dialysis center to examine the entire IPD procedure, inspect the hospital environment, and perform air bacterial count. ◆ Main Outcome Measures: The environmental factors and risk factors contributing to the polymicrobial peritonitis outbreak in IPD patients. The incidence of IPD peritonitis was determined before and after interventions. ◆ Results: The causative organisms included Acinetobacter baumanii (6), Stenotrophomonas maltophilia (2), Pseudomonas aeruginosa (1), Candida albicans (1), C. tropicalis (1), Enterococcus (3), and Enterobacteriaceae (2). Four episodes of peritonitis involved infection by more than one organism. Air sampling of the environment detected a median of 110 colony forming units of bacteria per cubic meter of air, 10% of which were found to be Acinetobacter baumanii. The source of this polymicrobial outbreak was attributed to the bamboo scaffolding structure covering the external wall of the hospital during renovation. A retrospective case-control study indicated that the absence of the flush-before-fill step was a risk factor for development of peritonitis. ◆ Conclusion: In addition to invasive aspergillosis in transplant or oncology patients, Acinetobacter peritonitis in dialysis patients should be considered another microbial cause of outbreak associated with hospital renovation.
Persistent Identifierhttp://hdl.handle.net/10722/78805
ISSN
2015 Impact Factor: 1.298
2015 SCImago Journal Rankings: 0.683
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorCheng, VCCen_HK
dc.contributor.authorLo, WKen_HK
dc.contributor.authorWoo, PCYen_HK
dc.contributor.authorChan, SBen_HK
dc.contributor.authorCheng, SWen_HK
dc.contributor.authorHo, Men_HK
dc.contributor.authorYuen, KYen_HK
dc.date.accessioned2010-09-06T07:47:01Z-
dc.date.available2010-09-06T07:47:01Z-
dc.date.issued2001en_HK
dc.identifier.citationPeritoneal Dialysis International, 2001, v. 21 n. 3, p. 296-301en_HK
dc.identifier.issn0896-8608en_HK
dc.identifier.urihttp://hdl.handle.net/10722/78805-
dc.description.abstract◆ Objective: To investigate an outbreak of peritonitis in intermittent peritoneal dialysis (IPD) patients. ◆ Design: An outbreak investigation was performed to identify the etiology of the polymicrobial outbreak, and a retrospective case-control study was conducted to assess the risk factors for development of peritonitis. ◆ Setting: Renal dialysis center. ◆ Patients: Ten episodes of peritonitis occurred in 8 of 61 patients over a 6-month period in which 669 IPD procedures were analyzed. ◆ Interventions: Field visit to renal dialysis center to examine the entire IPD procedure, inspect the hospital environment, and perform air bacterial count. ◆ Main Outcome Measures: The environmental factors and risk factors contributing to the polymicrobial peritonitis outbreak in IPD patients. The incidence of IPD peritonitis was determined before and after interventions. ◆ Results: The causative organisms included Acinetobacter baumanii (6), Stenotrophomonas maltophilia (2), Pseudomonas aeruginosa (1), Candida albicans (1), C. tropicalis (1), Enterococcus (3), and Enterobacteriaceae (2). Four episodes of peritonitis involved infection by more than one organism. Air sampling of the environment detected a median of 110 colony forming units of bacteria per cubic meter of air, 10% of which were found to be Acinetobacter baumanii. The source of this polymicrobial outbreak was attributed to the bamboo scaffolding structure covering the external wall of the hospital during renovation. A retrospective case-control study indicated that the absence of the flush-before-fill step was a risk factor for development of peritonitis. ◆ Conclusion: In addition to invasive aspergillosis in transplant or oncology patients, Acinetobacter peritonitis in dialysis patients should be considered another microbial cause of outbreak associated with hospital renovation.en_HK
dc.languageengen_HK
dc.publisherMultimed, Inc. The Journal's web site is located at http://pdiconnect.comen_HK
dc.relation.ispartofPeritoneal Dialysis Internationalen_HK
dc.subject.meshAgeden_HK
dc.subject.meshDisease Outbreaksen_HK
dc.subject.meshFemaleen_HK
dc.subject.meshHemodialysis Units, Hospitalen_HK
dc.subject.meshHospital Design and Constructionen_HK
dc.subject.meshHumansen_HK
dc.subject.meshMaleen_HK
dc.subject.meshMiddle Ageden_HK
dc.subject.meshPeritoneal Dialysisen_HK
dc.subject.meshPeritonitis - epidemiology - microbiologyen_HK
dc.titlePolymicrobial outbreak of intermittent peritoneal dialysis peritonitis during external wall renovation at a dialysis centeren_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0896-8608&volume=21&spage=296&epage=301&date=2001&atitle=Polymicrobial+outbreak+of+intermittent+peritoneal+dialysis+peritonitis+during+external+wall+renovation+at+a+dialysis+centeren_HK
dc.identifier.emailWoo, PCY:pcywoo@hkucc.hku.hken_HK
dc.identifier.authorityWoo, PCY=rp00430en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.pmid11475346-
dc.identifier.scopuseid_2-s2.0-0034908464en_HK
dc.identifier.hkuros74474en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0034908464&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume21en_HK
dc.identifier.issue3en_HK
dc.identifier.spage296en_HK
dc.identifier.epage301en_HK
dc.identifier.isiWOS:000169958100011-
dc.publisher.placeCanadaen_HK
dc.identifier.scopusauthoridCheng, VCC=23670479400en_HK
dc.identifier.scopusauthoridLo, WK=7201502414en_HK
dc.identifier.scopusauthoridWoo, PCY=7201801340en_HK
dc.identifier.scopusauthoridChan, SB=7404255972en_HK
dc.identifier.scopusauthoridCheng, SW=7404684783en_HK
dc.identifier.scopusauthoridHo, M=8325831100en_HK
dc.identifier.scopusauthoridYuen, KY=36079250500en_HK

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