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Infections in patients undergoing peritoneal dialysis

S Vas1, D G Oreopoulos

  • 1Toronto Western Hospital, University Health Network, University of Toronto, Toronto, Ontario, Canada.

Infectious Disease Clinics of North America
|September 26, 2001
PubMed

Insights

Physicians may have reached a plateau in peritonitis rates for patients on peritoneal dialysis. Further reductions in peritonitis frequency require significant efforts and a re-evaluation of acceptable risks and costs.

Area of Science:

  • Nephrology
  • Infectious Diseases
  • Medical Technology

Background:

  • Peritonitis remains a significant complication in peritoneal dialysis.
  • Physicians may have reached a plateau in reducing peritonitis rates.

Purpose of the Study:

  • To discuss the current status of peritonitis rates in peritoneal dialysis.
  • To explore the challenges and future directions for reducing peritonitis.
  • To consider the acceptable risks and costs associated with peritonitis.

Main Methods:

  • Review of current clinical experience and literature on peritoneal dialysis.
  • Analysis of peritonitis rates and contributing factors.
  • Discussion of potential areas for improvement in patient management and technology.

Main Results:

  • A plateau in peritonitis frequency has been observed.
  • A rate of 1 peritonitis event per 2 patient years may be currently acceptable.
  • Significant efforts are needed for further reduction.

Conclusions:

  • Further reduction in peritonitis rates requires substantial advancements across multiple fronts.
  • Future developments in catheter technology, patient training, and understanding of infectious processes are crucial.
  • A re-evaluation of acceptable costs and risks of peritonitis in peritoneal dialysis patients is necessary.

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