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Peritonitis From Automated Peritoneal Dialysis

  • Bruce H. Hamory (a1), James M. Neviakias (a1) and Steven K. Pearson (a1)

Abstract

Three consecutive patients undergoing automated peritoneal dialysis developed peritonitis with a nonfermenting gram-negative rod. The same organism was recovered from the dialysate produced by the machine and from its tap water supply. This is the first such outbreak in which the causative organism was also recovered from the tap water supply to the machine. The organism persisted in the machine following standard 3% formaldehyde disinfection, but was eradicated by 10% formaldehyde disinfection.

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Corresponding author

University of Missouri-Columbia, School of Medicine, Department of Medicine, One Hospital Drive, Columbia, MO 65212

References

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1.Band, JD, Ward, JI, Fraser, DW, et al: Peritonitis due to a Mycobacterium chelonei-like organism associated with intermittent chronic peritoneal dialysis. J Infect Dis 1982;145:917.
2.Berkelman, RL, Godley, J, Weber, JA, et al: Pseudomonas cepacia peritonitis associated with contamination of automated peritoneal dialysis machines. Ann Intern Med 1982;96:456458.
3.Weaver, RE, Tatum, HW, Hollis, DG: The Identification of Unusual Pathogenic Gram-negative Bacteria. Atlanta, Georgia, Centers for Disease Control, 1972.
4.Bauer, AW, Kirby, WM, Sherris, JC, et al: Antibiotic susceptibility testing by standardized single-dose method. Am J Clin Pathol 1966;45:493496.
5.Gandhi, VC, Kamadana, MR, Ing, TS, et al: Aseptic peritonitis in patients on maintenance peritoneal dialysis. Nephron 1979;24:257259.
6.Gutman, RA, Shelburne, JD: An outbreak of cryptogenic peritonitis implications for reverse osmosis production of biologically safe water. Dialysis Transplant 1977; 6(2):3537.
7.Petersen, NJ, Carson, LA, Favero, MS: Microbiologic quality of water in an automated peritoneal dialysis system. Dialysis and Transplantation 1977; 6(2):3840.

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