title: Avoiding harm in peritoneal dialysis patients.
abstract: This review is focused on minimizing complications and avoiding harm in peritoneal dialysis (PD) patients. Issues related to planning for PD are covered first, with emphasis on PD versus hemodialysis outcomes. Catheter types and insertion techniques are described next, including relevant recommendations by the International Society for Peritoneal Dialysis. A brief review of both noninfectious and infectious complications follows, with emphasis on cardiovascular and metabolic complications. Finally, recommendations for preventing PD-related infections are provided. In conclusion, with proper catheter insertion technique, good training, and attention to detail during the tenure in PD, excellent outcomes can be obtained in a well-informed motivated patient.
authors.affiliation: Renal-Electrolyte Division, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USA. fhb5@pitt.edu
authors.forename: Filitsa H
authors.initials: FH
authors.lastname: Bender
mesh_terms: D055499:Catheter-Related Infections / Q000209:etiology* / Q000517:prevention & control; D002408:Catheters, Indwelling / Q000009:adverse effects*; D015314:Dialysis Solutions / Q000009:adverse effects*; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D010530:Peritoneal Dialysis / Q000009:adverse effects* / Q000379:methods*; D010538:Peritonitis / Q000209:etiology / Q000517:prevention & control; D012307:Risk Factors
chemical_list: D015314:Dialysis Solutions