ISPD Peritonitis Recommendations: 2016 Update on Prevention and Treatment

作者：Philip Kam‐Tao Li, Cheuk‐Chun Szeto, Beth Piraino, Javier de Arteaga, Stanley Fan, Ana Elizabeth Figueiredo, Douglas N. Fish, Éric Goffin, Yong-Lim Kim, William Salzer, Dirk G. Struijk, Isaac Teitelbaum, David W. Johnson · 发表于：Peritoneal Dialysis International · 年份：2016 · DOI：10.3747/pdi.2016.00078 · 被引用次数：934 · 研究领域：Dialysis and Renal Disease Management、Central Venous Catheters and Hemodialysis、Potassium and Related Disorders

Peritonitis is a common and serious complication of peritoneal dialysis (PD). Although less than 5% of peritonitis episodes result in death, peritonitis is the direct or major contributing cause of death in around 16% of PD patients (1-6). In addition, severe or prolonged peritonitis leads to structural and functional alterations of the peritoneal membrane, eventually leading to membrane failure. Peritonitis is a major cause of PD technique failure and conversion to long-term hemodialysis (1,5,7,8). Recommendations under the auspices of the International Society for Peritoneal Dialysis (ISPD) were first published in 1983 and revised in 1993, 1996, 2000, 2005, and 2010 (9-14). The present recommendations are organized into 5 sections: 1. Peritonitis rate 2. Prevention of peritonitis 3. Initial presentation and management of peritonitis 4. Subsequent management of peritonitis 5