以泛耐药肺炎克雷伯菌感染为主的腹膜透析相关性腹膜炎1例  

Peritoneal dialysis-related peritonitis dominated by pandrug-resistant Klebsiella pneumoniae:a case report

作　　者：王丹 包崑 刘娟 马伟忠 王荣荣 许晓娜 孙纳 秦新东 WANG Dan;BAO Kun;LIU Juan;MA Weizhong;WANG Rongrong;XU Xiaona;SUN Na;QIN Xindong(Second Clinical Medical College,Guangzhou University of Chinese Medicine,Guangzhou,Guangdong 510403,China;不详)

机构地区：[1]广州中医药大学第二临床医学院,广东广州510403 [2]广州中医药大学第二附属医院肾内科,广东广州510120 [3]杭州市临平区中医院肾内科,浙江杭州311106 [4]广州中医药大学第二附属医院临床药学科

出　　处：《中华全科医学》2023年第8期1441-1443,1448,共4页Chinese Journal of General Practice

基　　金：广东省中医药局科研项目(20211194);国家中医药管理局科研项目(GZY-KJS-2020-042)。

摘　　要：耐碳青霉烯类肺炎克雷伯菌腹透相关性腹膜炎较为少见,病死率可高达50%,关于泛耐药肺炎克雷伯菌的治疗尚未达成共识。本文报道1例腹膜透析相关性腹膜炎,以产肺炎克雷伯菌碳青霉烯酶(Klebsiella pneumoniae carbapenemases,KPC)肺炎克雷伯菌感染为主,并通过文献梳理相关病例,回顾泛耐药肺炎克雷伯菌导致腹膜炎的临床特征和转归,总结其治疗经验。Carbapenem-resistant Klebsiella pneumoniae leading to peritoneal dialysis-associated peritonitis is rare,with mortality rate can be up to 50%.There is no consensus yet reached on the treatment of pandrug-resistant Klebsiella pneumonia.Here we report a case of peritoneal dialysis-related peritonitis with Klebsiella pneumoniae carbapenemase(KPC)-producing Klebsiella pneumoniae infection,combing related cases based on literature.The clinical features and treatment outcomes of pandrug-resistant Klebsiella pneumoniae leading to peritoneal dialysis-associated peritonitis were elucidated,then its treatment experience was summarized.

关 键 词：腹膜透析 腹膜炎 耐碳青霉烯类肺炎克雷伯菌 泛耐药 

分 类 号：R459.5[医药卫生—治疗学] R378.996[医药卫生—临床医学]