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To the Editor.
—In the July 1982 Archives (142:1273-1276), Vaziri et al reported the incidence of bacterial infections in spinal cord injury in patients with chronic renal failure. From December 1975 to May 1980 I treated 27 of the 43 paraplegics and quadriplegics described in this article who had end-stage renal disease.All but two patients in my group had Foley catheters, nephrostomy tubes, or both. The common pathologic condition they shared was chronic urinary tract infections, nephrolithiasis, decubitus ulcers, and amyloidosis. In this group of 27 patients, only one quadriplegic had a vascular access infection after four years of receiving dialysis (ie, two years in the hospital and two years at home). The infecting organism was Staphylococcus aureus. The graft was removed and the infection resolved. The patient was maintained on peritoneal dialysis.Six of the patients in this group were receiving peritoneal dialysis without any incident of peritonitis.
Alday B. Bacterial Infections. Arch Intern Med. 1983;143(3):612. doi:10.1001/archinte.1983.00350030226050