Fig. 2.

1.Three main risk factors in reviewed cases. a When PD machine is not used, the suspected pet plays or rests near the machine transmit the bacteria to the machine. b When patient is using the PD machine or is going to use it, the catheter is found to be bit by household pet. c When using the PD machine, the patient had intimate contact with the pet. 2.Manual PD approach in this case. d The patient was under PD without an infection by suspected pet or other factors. e During manual PD, the patient might infect the tube or dialysate after contacting a suspected pet who carried bacteria in process of filling, dwelling and draining. For the next time of PD, the bacteria went into the abdomen and caused peritoneal infection