Factors contributing to the differences in peritonitis rates between centers and regions.
Despite improvements in connectology, peritoneal dialysis (PD)-associated peritonitis contributes significantly to morbidity and modality failure in patients maintained on PD therapy. A broad spectrum of organisms-gram-positive, gram-negative, fungal, anaerobic-are involved in this complication. In addition, a significant percentage of episodes involve polymicrobial and culture-negative infection. Technological advances are being developed to minimize the incidence of access-related complications such as peritonitis. Many traditional factors such as exit-site infection and poor technique have been already identified. In the present review, we discuss the geographic, patient selection, and clinical issues that can affect peritonitis rates in different areas of the world and in different centers in the same area.
Stinghen
Andrea E
AE
Center for Health and Biological Sciences, Pontifícia Universidade Católica do Paraná, Curitiba, Brazil.
Barretti
Pasqual
P
Pecoits-Filho
Roberto
R
D000554:Ambulatory Care Facilities / Q000592:standards; D002408:Catheters, Indwelling / Q000382:microbiology; D015314:Dialysis Solutions / Q000737:chemistry; D004866:Equipment Contamination; D006801:Humans; D018579:Patient Selection; D010530:Peritoneal Dialysis; D010538:Peritonitis / Q000453:epidemiology* / Q000382:microbiology / Q000517:prevention & control; D012307:Risk Factors; D012499:Sanitation; D012959:Socioeconomic Factors; D014887:Weather
D015314:Dialysis Solutions