英文摘要 |
The complications associated with peritoneal dialysis can be categorized as noninfective or infective. Non-infective complications can be either mechanical or metabolic. Examples include catheter dysfunction, leakage, hernia, electrolyte imbalance, etc. Infective complications include peritonitis, exit site or tunnel infection. The most common complication of peritoneal dialysis is caused by peritonitis, and peritonitis is the critical determinant in successful peritoneal dialysis. A multi-disciplinary medical team comprised of a renal physician, nursing staff and dietician should therefore be set up as soon as possible to manage patients with peritonitis. The team should also meet regularly and review all the medical records to search for the cause and attempt to reduce the incidence of peritonitis. This article addresses clinical guidelines proposed by the International Society for Peritoneal Dialysis (ISPD) in 2010, reviews our past experiences with the treatment of peritonitis and attempts to provide guidance for peritoneal dialysis staff so better medical quality and outcomes can be achieved in the future. |