Infectious complications of peritoneal dialysis

Paweł Polski, Monika Kusz, Paulina Pawluczuk, Agnieszka Maślak, Adam Alzubedi



Peritoneal dialysis is one of three basic methods of renal replacement therapy. Others include hemodialysis and kidney transplantation. In peritoneal dialysis, the peritoneal cavity is used to clean the blood of excess unnecessary substances and water. The peritoneum is a thin membrane permeable to water and many substances, lining the organs inside the abdominal cavity. Briefly, the peritoneum can be considered a kind of filter. When performing peritoneal dialysis, a dialysis fluid is administered to the abdominal cavity, which discharges after some time, and this activity is repeated at planned intervals. The chemical composition of the fluid is appropriately selected for each patient so as to obtain optimally favorable results of dialysis. Water diffusion depends on the concentration in the fluid of glucose and other osmotic factors. Among the infectious complications of peritoneal dialysis, including drainage site infections, tunnel inflammation and peritonitis associated with peritoneal dialysis, the latter remains the most common and serious.


peritoneal dialysis; peritonitis, tenckhoff catheter; infectious complications

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ANZDATA Registry. 38th Report. Chapter 5: Peritoneal Dialysis. Australia and New Zealand Dialysis and Transplant Registry, Adelaide, Australia 2016.

Campbell D.J., Craig J.C., Mudge D.W. i wsp. Patients’ perspectives on the prevention and treatment of peritonitis in peritoneal dialysis: a semi-structured interview study. Perit. Dial. Int. 2016; 36: 631–639.

Li P.K., Szeto C.C., Piraino B. i wsp. ISPD Peritonitis Recommendations: 2016 Update on Prevention and Treatment. Perit. Dial. Int. 2016; 36: 481–508.

Flanigan M.J., Lim V.S. Initial treatment of dialysis associated peritonitis: a controlled trial of vancomycin versus cefazolin. Perit. Dial. Int. 1991; 11: 31–37.

Fish R., Nipah R., Jones C., Finney H., Fan S.L. Intraperitoneal vancomycin concentrations during peritoneal dialysis-associated peritonitis: correlation with serum levels. Perit. Dial. Int. 2012; 32: 332–338.

Rüger W., van Ittersum F.J., Comazzetto L.F., Hoeks S..E, ter Wee P.M. Similar peritonitis outcome in CAPD and APD patients with dialysis modality continuation during peritonitis. Perit. Dial. Int. 2011; 31: 39–47.

Szeto C.C. Peritoneal dialysis-related infection in the older population. Perit. Dial. Int. 2015; 35: 659–662.

Figueiredo A.E., Bernardini J., Bowes E. i wsp. A syllabus for teaching peritoneal dialysis to patients and caregivers. Perit. Dial. Int. 2016; 36: 592–605.

Dong J., Chen Y. Impact of the bag exchange procedure on risk of peritonitis. Perit. Dial. Int. 2010; 30: 440–447.

Strippoli G.F., Tong A., Johnson D., Schena F.P., Craig J.C. Antimicrobial agents to prevent peritonitis in peritoneal dialysis: a systematic review of randomized controlled trials. Am. J. Kidney Dis. 2004; 44: 591–603.

Hagen S.M., Lafranca J.A., Ijzermans J.N., Dor F.J. A systematic review and meta-analysis of the influence of peritoneal dialysis catheter type on complication rate and catheter survival. Kidney Int. 2014; 85: 920–932.

Tullavardhana T., Akranurakkul P., Ungkitphaiboon W., Songtish D. Surgical versus percutaneous techniques for peritoneal dialysis catheter placement: a meta-analysis of the outcomes. Ann. Med. Surg. (Lond.) 2016; 10: 11–18.

Figueiredo A.E., de Mattos C., Saraiva C. i wsp. Comparison between types of dressing following catheter insertion and early exit-site infection in peritoneal dialysis. J. Clin. Nurs. 2017; doi: 10.1111/jocn.13738.

Matuszkiewicz-Rowinska J. Update on fungal peritonitis and its treatment. Perit. Dial. Int. 2009; 29 (supl. 2): S161–S165.

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Journal of Education, Health and Sport formerly Journal of Health Sciences

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1223 Journal of Education, Health and Sport eISSN 2391-8306 7

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