{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T11:57:32Z","timestamp":1778327852381,"version":"3.51.4"},"reference-count":14,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2013,7,1]],"date-time":"2013-07-01T00:00:00Z","timestamp":1372636800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J Artif Organs"],"published-print":{"date-parts":[[2013,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Fungal peritonitis (FP) is rare, but it is associated with high morbidity and mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods<\/jats:title>\n                    <jats:p>A prospective study was conducted based on the peritonitis episodes registry to evaluate FP rate, possible risk factors, and outcomes. The impact of prophylactic intervention with oral fluconazole was evaluated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Over 24 years of experience, 417 patients underwent peritoneal dialysis (PD), followed for 956 patient-years. By the end of the study, the peritonitis rate reached 0.47 episodes per patient-year of treatment (ep\/pt-y). FP was detected in 24 patients. The global rate of FP was 0.03 ep\/pt-y (4.8%). Candida species accounted for 92% of the FP. Risk factors identified: recent use of antibiotics in 63% (13 episodes of bacterial peritonitis and 2 exit-site infections (ESI)) and immunosuppressive therapy in 8%. While rare, the FP proportion was still observed to increase from the beginning of the program, reaching 7.8% (0.05 ep\/pt-y). A strategy of antifungal prophylaxis with oral fluconazole during peritonitis or ESI antibiotic therapy was adopted, which allowed thereafter a 4.0% falling FP proportion (by study end, rate of 0.01 ep\/pt-y). Catheter removal occurred in all patients. The mortality rate was 12.5%. Reinsertion of dialysis catheter was attempted in 4 patients and PD was successfully resumed in 3 patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>FP was associated with high mortality and required early removal of the catheter in all patients. Recent use of antibiotics was a predisposing factor to PF The quality control process determined a prophylactic strategy and reduction of PF after introduction of oral fluconazole was implemented.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.5301\/ijao.5000219","type":"journal-article","created":{"date-parts":[[2013,5,10]],"date-time":"2013-05-10T05:46:10Z","timestamp":1368164770000},"page":"484-488","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Long-Term Peritoneal Dialysis Experience: Quality Control Supports the use of Fluconazole to Prevent Fungal Peritonitis"],"prefix":"10.1177","volume":"36","author":[{"given":"Karina","family":"Lopes","sequence":"first","affiliation":[{"name":"Nephrology Department, Centro Hospitalar e Universit\u00e1rio de Coimbra, Quinta dos Vales, Coimbra - Portugal"}]},{"given":"Ana","family":"Rocha","sequence":"additional","affiliation":[{"name":"Nephrology Department of Santo Ant\u00f3nio Hospital, Centro Hospitalar do Porto, Porto - Portugal"}]},{"given":"Anabela","family":"Rodrigues","sequence":"additional","affiliation":[{"name":"Nephrology Department of Santo Ant\u00f3nio Hospital, Centro Hospitalar do Porto, Porto - Portugal"}]},{"given":"Maria Jo\u00e3o","family":"Carvalho","sequence":"additional","affiliation":[{"name":"Nephrology Department of Santo Ant\u00f3nio Hospital, Centro Hospitalar do Porto, Porto - Portugal"}]},{"given":"Ant\u00f3nio","family":"Cabrita","sequence":"additional","affiliation":[{"name":"Nephrology Department of Santo Ant\u00f3nio Hospital, Centro Hospitalar do Porto, Porto - Portugal"}]}],"member":"179","published-online":{"date-parts":[[2013,10,5]]},"reference":[{"issue":"4","key":"bibr1-ijao.5000219","first-page":"393","volume":"25","author":"Molina P.","year":"2005","journal-title":"Nefrologia."},{"key":"bibr2-ijao.5000219","doi-asserted-by":"publisher","DOI":"10.1177\/089686080902902S31"},{"key":"bibr3-ijao.5000219","doi-asserted-by":"publisher","DOI":"10.1177\/089686080502500302"},{"key":"bibr4-ijao.5000219","doi-asserted-by":"publisher","DOI":"10.3747\/pdi.2010.00049"},{"key":"bibr5-ijao.5000219","doi-asserted-by":"publisher","DOI":"10.3747\/pdi.2008.00189"},{"key":"bibr6-ijao.5000219","doi-asserted-by":"publisher","DOI":"10.1016\/S0163-4453(03)00119-1"},{"key":"bibr7-ijao.5000219","doi-asserted-by":"publisher","DOI":"10.3109\/0886022X.2010.494797"},{"key":"bibr8-ijao.5000219","doi-asserted-by":"publisher","DOI":"10.1038\/ki.2009.202"},{"key":"bibr9-ijao.5000219","doi-asserted-by":"publisher","DOI":"10.1016\/S0272-6386(96)90466-7"},{"key":"bibr10-ijao.5000219","doi-asserted-by":"publisher","DOI":"10.1159\/000328735"},{"key":"bibr11-ijao.5000219","doi-asserted-by":"publisher","DOI":"10.1159\/000337377"},{"key":"bibr12-ijao.5000219","first-page":"55","volume":"22","author":"Das R.","year":"2006","journal-title":"Adv Perit Dial."},{"key":"bibr13-ijao.5000219","doi-asserted-by":"publisher","DOI":"10.1177\/089686080002000406"},{"key":"bibr14-ijao.5000219","first-page":"417","volume-title":"Handbook of Dialysis.","author":"Leehey D.J.","year":"2007","edition":"4"}],"container-title":["The International Journal of Artificial Organs"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.5301\/ijao.5000219","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.5301\/ijao.5000219","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.5301\/ijao.5000219","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T19:42:47Z","timestamp":1777491767000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.5301\/ijao.5000219"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,7]]},"references-count":14,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2013,7]]}},"alternative-id":["10.5301\/ijao.5000219"],"URL":"https:\/\/doi.org\/10.5301\/ijao.5000219","relation":{},"ISSN":["0391-3988","1724-6040"],"issn-type":[{"value":"0391-3988","type":"print"},{"value":"1724-6040","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,7]]}}}