Variations saisonnières des péritonites entériques en Belgique et France : données du RDPLF
DOI :
https://doi.org/10.25796/bdd.v4i4.73553Mots-clés :
dialyse péritonéale, germes entériques, péritonite, variations saisonnièresRésumé
Résumé
Peu d’informations sont disponibles sur l’écologie saisonnière des germes responsables des péritonites en dialyse péritonéale. Nous avons réalisé une étude rétrospective à partir de la base de données du RDPLF portant sur les 20 dernières années et 20411 épisodes de péritonites.
Nous montrons une proportion de péritonites à germes entériques plus élevée en été, la plus faible en hiver et identique au printemps et en automne. Cette proportion de germes d’origine entérique plus élevée en été a elle même tendance à augmenter ces dernières années.
Nous postulons qu’une contamination alimentaire par des germes entériques associée à une translocation bactérienne accrue au niveau du tube digestif, elle-même favorisée par la constipation et des changements saisonniers d’alimentation pourrait être responsable de ce phénomène.
Ces variations saisonnières pourraient suggérer d’adapter l’antibiothérapie probabiliste lors d’une suspicion de péritonite, avant les résultats de l’analyse bactériologique.
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