Ridlon TL, Adams CM, Orig JM
Well-water related peritonitis
17th Annual CAPD Conference
Perit Dial Int Suppl 1 (Feb) 17:S37 1997

Three episodes of Gram negative peritonitis were attributed to contaminated well water. In all patients, the same organism was cultured from the dialysate and the corresponding well water. In two patients, exit site infections with the same organism were also present. After decontamination of the wells with chlorine bleach, these patients were peritonitis free for %gt; 1 yr. "Well water peritonitis" should be considered in patients with Gram negative peritonitis.

Comment: An interesting finding, which may be relevant in certain patients, especially those living in rural areas. (David J. Leehey, M.D., Loyola University at Chicago)

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17th Annual CAPD Conference
Basic peritoneal dialysis : Peritonitis and exit-site infection