Exit-Site Infection: A Comparison of Classification Systems
B Sangeetha1, N Deepa1, M Hemalatha1
1Sri Venkateswara Institute of Medical Sciences, Nephrology, Andhra Pradesh, India.
Abstract:
In general, in peritoneal dialysis (PD) practice in hospitals, Twardowski and Prowant's exit-site classification system is used, while the International Society for Peritoneal Dialysis (ISPD) exit-site scoring system is practical to use in community visits with less experienced healthcare personnel. Nevertheless, when exit-site scoring is 3 points under the ISPD exit-site score system and it falls in the category of equivocal under the Twardowski and Prowant's exit-site classification, the physician should be vigilant about the possibility of developing peritonitis, and hence, patients need to be kept under periodic monitoring.
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