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Pasteurella species peritoneal dialysis-associated peritonitis: household pets as a risk factor

By P. G. Poliquin, P. Lagace-Wiens, M. Verrelli, D. W. Allen, J. M. Embil

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BACKGROUND: Pasteurella species are Gram-negative coccobacilli that are a part of the normal oropharyngeal flora of numerous domestic animals. They have been recognized as a rare but significant cause of peritonitis in patients undergoing peritoneal dialysis (PD). A consensus about management strategies for PD-associated peritonitis caused by Pasteurella species currently does not exist. METHODS: The microbiological database serving the Manitoba Renal Program was searched from 1997 to 2013 for cases of Pasteurella species PD-associated peritonitis, and charts were reviewed. PubMed was searched for case reports and data were abstracted. RESULTS: Seven new local cases and 30 previously reported cases were analyzed. This infection is clinically similar to other forms of PD peritonitis, with household pet exposure appearing to be the strongest risk factor. Cats are the most commonly implicated pet. Direct contact between the pet and the equipment was commonly reported (25 of 37 patients) but was not necessary for infection to develop. The mean duration of treatment was 15 days. Complication rates were low, with only 11% of patients requiring PD catheter removal. There was no mortality reported. CONCLUSION: Pasteurella species are a rare cause of PD-associated peritonitis that can be successfully treated with a two-week course of intraperitoneal antibiotics with a high likelihood of catheter salvage.

Publication Title Canadian Journal of Infectious Diseases & Medical Microbiology
Volume 26
Issue 1
Pages 52-55
ISBN/ISSN 1712-9532
Language English
Author Address Section of Paediatric Infectious Diseases, Department of Paediatrics and Child Health, University of Manitoba, Manitoba, Ontario,
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Researchers should cite this work as follows:

  1. Animals
  2. Antibiotics
  3. APEC countries
  4. Bacteria
  5. Canada
  6. Carnivores
  7. Cats
  8. Commonwealth of Nations
  9. Companion
  10. Developed countries
  11. Drugs
  12. Exposure
  13. Hosts
  14. Humans
  15. Immunocompromised hosts
  16. Infections
  17. Mammals
  18. Manitoba
  19. membranes
  20. Men
  21. OECD countries
  22. pathogens
  23. peer-reviewed
  24. peritonitis
  25. Pesticides and Drugs
  26. Pests.
  27. Pets and companion animals
  28. Primates
  29. prokaryotes
  30. prophylaxis
  31. risk factors
  32. therapy
  33. United States of America
  34. vectors
  35. vertebrates
  1. peer-reviewed