Kidney Week

Abstract: TH-PO1153

COVID-19 Pandemic and Peritonitis in Patients with ESKD on Peritoneal Dialysis

Session Information

• COVID-19
  October 24, 2024 | Location: Exhibit Hall, Convention Center
  Abstract Time: 10:00 AM - 12:00 PM

Category: Coronavirus (COVID-19)

• 000 Coronavirus (COVID-19)

Authors

• Shin, Hye Soon, Chungbuk National University Hospital, Cheongju, Chungcheongbuk-do, Korea (the Republic of)

Hye Soon Shin

• Kim, Sun Moon, Chungbuk National University Hospital, Cheongju, Chungcheongbuk-do, Korea (the Republic of)

Sun Moon Kim, MD, PhD

• Cho, Hyunjeong, Chungbuk National University Hospital, Cheongju, Chungcheongbuk-do, Korea (the Republic of)

Hyunjeong Cho, MD

• Kim, Ji Hye, Chungbuk National University Hospital, Cheongju, Chungcheongbuk-do, Korea (the Republic of)

Ji Hye Kim, MD, MS

• Park, Mi Ran, Chungbuk National University Hospital, Cheongju, Chungcheongbuk-do, Korea (the Republic of)

Mi Ran Park

• Kim, Hye-Young, Chungbuk National University Hospital, Cheongju, Chungcheongbuk-do, Korea (the Republic of)

Hye-Young Kim, MD

Background

Coronavirus disease 2019 (COVID-19) pandemic has changed patients’ behaviors and social relationships. However, the influence of COVID-19 pandemic on the peritonitis in patients on peritoneal dialysis (PD) remains to be elucidated. Thus, we investigated the impact of COVID-19 pandemic on the incidence and clinical outcome of peritonitis in end-stage kidney disease (ESKD) patients on PD.

Methods

A single-center retrospective study was conducted. Medical records of all the ESKD patients on maintenance PD were reviewed from Jan 2017 to Dec 2022: clinical characteristics, prescription of PD, pathogens, hospitalization, and clinical outcome of peritonitis. We compared the incidence and clinical outcome of peritonitis three years before (2017-2019) and after COVID-19 pandemic (2020-2022).

Results

A total of 572 medical records were analyzed. The incidence of PD-related peritonitis decreased after COVID-19 outbreak. The incidence of peritonitis was 0.187/patient-year in 2017-2019 and 0.120/patient-year in 2020-2022. The microbiologic features were not different. The most common pathogen of peritonitis were gram-positive bacteria. The proportion of peritonitis-related hospitalization and catheter removal associated with treatment failure did not differ between before and after COVID-19 pandemic.

Conclusion

This study suggests that during the COVID-19 pandemic the incidence of PD-related peritonitis was decreased whereas pathogens and hospitalization did not change.