关键词: 腹膜透析, 腹膜炎, 指南

Abstract:

Peritonitis is one of the most serious complications of peritoneal dialysis (PD), which accounted for technique failure. The recent (2016) guidelines represent that antibiotic prophylaxis prior to catheter insertion and invasive clinic procedures, good exitsite care, the CQI (continuous quality improvement) programs may reduce peritonitis rates. And, prophylactic use of antifungals during antibiotic administration may prevent fungal peritonitis. To prevent delay in treatment, antibiotic therapy should be initiated once the appropriate dialysis effluent specimens have been collected, without waiting for the results of laboratory testing. Subsequently, antibiotic therapy should be adjusted according to the culture results and sensitivities. In this paper, according to the latest ISPD Peritonitis Recommendations, we reviewed the prevention and treatment of PDrelated peritonitis.

Key words: peritoneal dialysis, peritonitis, guidelines