Peritonite bacteriana em paciente em diálise peritoneal pela bactéria Achromobacter Xylosoxidans: revisão bibliográfica

Abstract

Objective: This work aims to carry out a literature review on bacterial peritonitis in patients on peritoneal dialysis caused by the bacterium Achromobacter xylosoxidans. Method: The PubMed database was used to identify relevant studies published between the years 2000 and 2024, from which seven clinical cases pertinent to the topic were extracted. The keywords used for the search were peritoneal dialysis and xylosoxidans. Results: The majority of the reported cases were treated with intravenous antibiotic therapy associated with the administration of intraperitoneal antibiotics, in addition to the removal of the Tenckhoff catheter. Retreatment was frequently necessary, and most patients underwent hemodialysis during the course of the infectious process. Conclusion: The management of intraperitoneal infection by Achromobacter xylosoxidans still presents challenges. This is due to characteristics inherent to the microorganism itself—such as its intrinsic resistance to various antimicrobials—as well as host-related factors, such as immunosuppression. Moreover, the rare incidence of this infection contributes to the complexity of the scenario, which still demands further studies and clinical observations.