Peritoneal dialysis-related infections recommendations: 2016 update. What is new?

Int Urol Nephrol. 2017 Dec;49(12):2177-2184. doi: 10.1007/s11255-017-1632-9. Epub 2017 Jun 1.

Abstract

In 2016, the International Society of Peritoneal Dialysis (ISPD) published guidelines that focus on the importance of both prevention and treatment of peritonitis. For once more, the need for annual reporting of peritonitis rates and recording of peritonitis and exit-site infections, isolated microorganism and antimicrobial susceptibilities as a central component of a quality improvement program is highlighted. Data on new antibiotic regimens, techniques for microorganism isolation and peritoneal dialysis solutions are included. Training of both peritoneal dialysis nurses and patients seems to be crucial, while the modifiable risk factors for peritonitis seem to be of great interest. In this article, we record the changes in the last ISPD (2016) guidelines compared to the previous ones published in 2010.

Keywords: Guidelines; Peritoneal dialysis; Peritonitis.

Publication types

  • Review

MeSH terms

  • Anti-Bacterial Agents / therapeutic use*
  • Antifungal Agents / therapeutic use
  • Coinfection / drug therapy
  • Gram-Negative Bacterial Infections / complications
  • Gram-Negative Bacterial Infections / drug therapy*
  • Gram-Positive Bacterial Infections / complications
  • Gram-Positive Bacterial Infections / drug therapy*
  • Humans
  • Mycoses / complications
  • Mycoses / drug therapy
  • Peritoneal Dialysis / adverse effects*
  • Peritonitis / drug therapy*
  • Peritonitis / microbiology
  • Peritonitis / prevention & control*
  • Practice Guidelines as Topic

Substances

  • Anti-Bacterial Agents
  • Antifungal Agents