Les infections graves chez les patients en dialyse péritonéale et en hémodialyse chronique conventionnelle : péritonites et infections de la voie d'abord vasculaire

Infections occurring in dialysis patients are 100 times more frequent than in general population. They are the second cause of mortality. Early diagnosis and prevention are essential. Risk factors in those patients are multiple such as immune deficit and cutaneous port of entry. The most frequent causative pathogens are Gram positive cocci such as staphyloccocci and Gram negative bacilli. Patient survival and technique survival are threatened by these infections. Peritonitis and infections related to dialysis catheters are detailed in this review.