Prevention of infectious complications in peritoneal dialysis: best demonstrated practices.
Kidney Int Suppl
; (103): S44-54, 2006 Nov.
Article
en En
| MEDLINE
| ID: mdl-17080111
ABSTRACT
Peritoneal dialysis (PD) related infections continue to be a serious complication for PD patients. Peritonitis can be associated with pain, hospitalization and catheter loss as well as a risk of death. Peritonitis risk is not evenly spread across the PD population or programs. Very low rates of peritonitis in a program are possible if close attention is paid to the causes of peritonitis and protocols implemented to reduce the risk of infection. Protocols to decrease infection risk in PD patients include proper catheter placement, exit-site care that includes Staphylococcus aureus prophylaxis, careful training of patients with periodic retraining, treatment of contamination, and prevention of procedure-related and fungal peritonitis. Extensive data have been published on the use of antibiotic prophylaxis to prevent exit site infections. There are fewer data on training methods of patients to prevent infection risk. Quality improvement programs with continuous monitoring of infections, both of the catheter exit site and peritonitis, are important to decrease the PD related infections in PD programs. Continuous review of every episode of infection to determine the root cause of the event should be routine in PD programs. Further research is needed examining approaches to decrease infection risk.
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Base de datos:
MEDLINE
Asunto principal:
Peritonitis
/
Infecciones Estafilocócicas
/
Diálisis Peritoneal
/
Control de Infecciones
/
Fallo Renal Crónico
Tipo de estudio:
Guideline
Límite:
Humans
Idioma:
En
Revista:
Kidney Int Suppl
Año:
2006
Tipo del documento:
Article
País de afiliación:
Estados Unidos