Evidence map›Paper›PMID 34401447›Full record

ArticleInternational journal of pediatrics & adolescent medicine2021

Peritonitis in children on peritoneal dialysis: 12 years of tertiary center experience.

Saeed M AlZabli, Mohammed A Alsuhaibani, Meshail A BinThunian, Dayel A Alshahrani, Abdulkarim Al Anazi, Sibi Varghese, Vernice Rose, Khawla A Rahim

Open access · diamondAbstract read
In one paragraph

Article in International journal of pediatrics & adolescent medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 41% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Saeed M AlZabliPediatric Nephrology Section, Children Specialized Hospital, King Fahad Medical City, Riyadh, 12231, Saudi Arabia.
Mohammed A AlsuhaibaniDepartment of Pediatrics, College of Medicine, Qassim University, Qassim, 51452, Saudi Arabia.
Meshail A BinThunianGeneral Pediatric Section, Children Specialized Hospital, King Fahad Medical City, Riyadh, 12231, Saudi Arabia.
Dayel A AlshahraniGeneral Pediatric Section, Children Specialized Hospital, King Fahad Medical City, Riyadh, 12231, Saudi Arabia.
Abdulkarim Al AnaziPediatric Nephrology Section, Children Specialized Hospital, King Fahad Medical City, Riyadh, 12231, Saudi Arabia.
Sibi VarghesePediatric Nephrology Section, Children Specialized Hospital, King Fahad Medical City, Riyadh, 12231, Saudi Arabia.
Vernice RosePediatric Nephrology Section, Children Specialized Hospital, King Fahad Medical City, Riyadh, 12231, Saudi Arabia.
Khawla A RahimPediatric Nephrology Section, Children Specialized Hospital, King Fahad Medical City, Riyadh, 12231, Saudi Arabia.
King Fahd Medical City · SAQassim University · SA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivePeritoneal dialysis (PD) associated peritonitis is the most common cause of morbidity, mortality, and treatment failure in patients undergoing PD. We aimed to identify the incidence, pathogens, antibiotic susceptibility, and the outcome of peritoneal dialysis (PD)-associated peritonitis in children.

methodsData from medical records of children who underwent PD between 2007 and 2018 in King Fahad Medical City were retrospectively collected. All children aged <14 years undergoing chronic PD were included. The demographic characteristics of patients, peritonitis rates, and clinical outcomes‏ were collected.

resultsIn total, 131 children [boys, 68 (51.9%)] underwent automated PD for 305 years. The most common age group was 6-12 years (61 patients, 46.6%). A total of 74.0% of patients were new to dialysis; 25.2% were transferred from hemodialysis. Peritonitis incidence was 0.6 episodes/patient-year. Gram-positive and -negative organisms were identified in 50.1% and 22% episodes, respectively, whereas cultures remained negative in 20.5% episodes. Coagulase-negative Staphylococcus was the most common isolated organism (22.1%), followed by methicillin-sensitive S. aureus (11.1%). Peritonitis was resolved in 153 (73.6%) episodes, whereas 52 (25.0%) episodes required removal through the catheter. The multivariate logistic regression analysis found the exit site infection to be a risk factor for catheter removal. Three (1.4%) episodes caused death due to peritonitis complicated by septic shock‏.

conclusionsOur data showed that the most common organisms causing peritonitis were similar to those reported in the previous international registry. The rate of peritonitis was high, but markedly improved in the past two years.

Indexed as

Exit site infectionOutcomePeritoneal dialysisPeritonitis

Identifiers

PMID34401447
PMCPMC8356114
OpenAlexW3087540255

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.