Effect of gastric acid suppressants and prokinetics on peritoneal dialysis-related peritonitis

AIM: To investigate the effect of gastric acid suppressants and prokinetics on peritonitis development in peritoneal dialysis(PD) patients.METHODS: This was a single-center, retrospective study. The medical records of 398 PD patients were collected from January 2000 to September 2012 and analyzed to...

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Veröffentlicht in:World journal of gastroenterology : WJG 2014-07, Vol.20 (25), p.8187-8194
Hauptverfasser: Kwon, Ji Eun, Koh, Seong-Joon, Chun, Jaeyoung, Kim, Ji Won, Kim, Byeong Gwan, Lee, Kook Lae, Im, Jong Pil, Kim, Joo Sung, Jung, Hyun Chae
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container_end_page 8194
container_issue 25
container_start_page 8187
container_title World journal of gastroenterology : WJG
container_volume 20
creator Kwon, Ji Eun
Koh, Seong-Joon
Chun, Jaeyoung
Kim, Ji Won
Kim, Byeong Gwan
Lee, Kook Lae
Im, Jong Pil
Kim, Joo Sung
Jung, Hyun Chae
description AIM: To investigate the effect of gastric acid suppressants and prokinetics on peritonitis development in peritoneal dialysis(PD) patients.METHODS: This was a single-center, retrospective study. The medical records of 398 PD patients were collected from January 2000 to September 2012 and analyzed to compare patients with at least one episode of peritonitis(peritonitis group, group A) to patients who never had peritonitis(no peritonitis group, group B). All peritonitis episodes were analyzed to compare peritonitis caused by enteric organisms and peritonitis caused by non-enteric organisms.RESULTS: Among the 120 patients who met the inclusion criteria, 61 patients had at least one episode ofperitonitis and 59 patients never experienced peritonitis. Twenty-four of 61 patients(39.3%) in group A and 15 of 59 patients(25.4%) in group B used gastric acid suppressants. Only the use of H2-blocker(H2B) was associated with an increased risk of PD-related peritonitis; the use of proton pump inhibitors, other antacids, and prokinetics was not found to be a significant risk factor for PD-related peritonitis. A total of 81 episodes of peritonitis were divided into enteric peritonitis(EP) or non-enteric peritonitis, depending on the causative organism, and gastric acid suppressants and prokinetics did not increase the risk of EP in PD patients.CONCLUSION: The use of H2B showed a trend for an increased risk of overall PD-related peritonitis, although further studies are required to clarify the effects of drugs on PD-related peritonitis.
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The medical records of 398 PD patients were collected from January 2000 to September 2012 and analyzed to compare patients with at least one episode of peritonitis(peritonitis group, group A) to patients who never had peritonitis(no peritonitis group, group B). All peritonitis episodes were analyzed to compare peritonitis caused by enteric organisms and peritonitis caused by non-enteric organisms.RESULTS: Among the 120 patients who met the inclusion criteria, 61 patients had at least one episode ofperitonitis and 59 patients never experienced peritonitis. Twenty-four of 61 patients(39.3%) in group A and 15 of 59 patients(25.4%) in group B used gastric acid suppressants. Only the use of H2-blocker(H2B) was associated with an increased risk of PD-related peritonitis; the use of proton pump inhibitors, other antacids, and prokinetics was not found to be a significant risk factor for PD-related peritonitis. A total of 81 episodes of peritonitis were divided into enteric peritonitis(EP) or non-enteric peritonitis, depending on the causative organism, and gastric acid suppressants and prokinetics did not increase the risk of EP in PD patients.CONCLUSION: The use of H2B showed a trend for an increased risk of overall PD-related peritonitis, although further studies are required to clarify the effects of drugs on PD-related peritonitis.</description><identifier>ISSN: 1007-9327</identifier><identifier>EISSN: 2219-2840</identifier><identifier>DOI: 10.3748/wjg.v20.i25.8187</identifier><identifier>PMID: 25057226</identifier><language>eng</language><publisher>United States: Baishideng Publishing Group Inc</publisher><subject>Adult ; Aged ; Antacids - adverse effects ; antago ; Female ; Gastrointestinal Agents - adverse effects ; Gastrointestinal Motility - drug effects ; Gastrointestinal Tract - drug effects ; Gastrointestinal Tract - microbiology ; Gastrointestinal Tract - physiopathology ; Histamine ; Histamine H2 Antagonists - adverse effects ; Humans ; inhibitors ; Male ; Middle Aged ; Peritoneal Dialysis - adverse effects ; Peritonitis - etiology ; Peritonitis - microbiology ; Peritonitis - physiopathology ; Proton ; Proton Pump Inhibitors - adverse effects ; pump ; receptor ; Republic of Korea ; Retrospective Studies ; Retrospective Study ; Risk Assessment ; Risk Factors ; Young Adult</subject><ispartof>World journal of gastroenterology : WJG, 2014-07, Vol.20 (25), p.8187-8194</ispartof><rights>2014 Baishideng Publishing Group Inc. 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A total of 81 episodes of peritonitis were divided into enteric peritonitis(EP) or non-enteric peritonitis, depending on the causative organism, and gastric acid suppressants and prokinetics did not increase the risk of EP in PD patients.CONCLUSION: The use of H2B showed a trend for an increased risk of overall PD-related peritonitis, although further studies are required to clarify the effects of drugs on PD-related peritonitis.</abstract><cop>United States</cop><pub>Baishideng Publishing Group Inc</pub><pmid>25057226</pmid><doi>10.3748/wjg.v20.i25.8187</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Aged
Antacids - adverse effects
antago
Female
Gastrointestinal Agents - adverse effects
Gastrointestinal Motility - drug effects
Gastrointestinal Tract - drug effects
Gastrointestinal Tract - microbiology
Gastrointestinal Tract - physiopathology
Histamine
Histamine H2 Antagonists - adverse effects
Humans
inhibitors
Male
Middle Aged
Peritoneal Dialysis - adverse effects
Peritonitis - etiology
Peritonitis - microbiology
Peritonitis - physiopathology
Proton
Proton Pump Inhibitors - adverse effects
pump
receptor
Republic of Korea
Retrospective Studies
Retrospective Study
Risk Assessment
Risk Factors
Young Adult
title Effect of gastric acid suppressants and prokinetics on peritoneal dialysis-related peritonitis
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