The CARI guidelines. Evidence for peritonitis treatment and prophylaxis: prophylactic antibiotics for insertion of peritoneal dialysis catheter.
نویسنده
چکیده
Individual renal units should have a protocol for antibiotic prophylaxis prior to peritoneal dialysis (PD) catheter insertion which provides suitable cover for the bacteria isolated in that unit. All PD units should document antibiotic prophylaxis and the type of antibiotic administered in addition to data on all PD-related problems including exit site infections, tunnel infections, peritonitis, catheter malfunction rates and catheter survival times. These data should be submitted to the ANZDATA registry.
منابع مشابه
One-dose cefuroxime i.v. and i.p. reduces microbial growth in PD patients after catheter insertion.
BACKGROUND When a peritoneal dialysis catheter is inserted intra-abdominally in a patient starting peritoneal dialysis (PD) there is always a risk for postoperative wound infection and peritonitis. At our centre, PD is started immediately after the dialysis catheter is inserted. This may increase the postoperative risk for peritonitis and wound infection. The aim of this prospective, randomized...
متن کاملThe CARI guidelines. Evidence for peritonitis treatment and prophylaxis: the influence of peritoneal dialysis systems and solutions on the incidence of peritonitis and catheter-related infections.
a. Disconnect systems of continuous ambulatory peritoneal dialysis (CAPD) result in lower rates of peritonitis than “spike” systems and this older system should no longer be used (Evidence level 1). b. Twin bag systems have lower rates of peritonitis than Y-disconnect systems (Evidence level 1) and are recommended as the preferred CAPD technique. c. There is insufficient high level evidence to ...
متن کاملThe CARI guidelines. Evidence for peritonitis treatment and prophylaxis: peritoneal dialysis catheter-related infection: exit site and tunnel.
Exit site infection (ESI) has been defined as clinically apparent infection at the exit site with or without a positive culture. Included in this definition is catheter tunnel tract infection. Clinical signs of infection include purulent drainage, redness, swelling, warmth and tenderness over or around the exit site. Exit site and tunnel infections are a significant cause of morbidity and are r...
متن کاملعوارض و ماندگاری کاتترگذاری دیالیز صفاقی به‌روش لاپاراسکوپی در بیماران تحت دیالیز صفاقی مداوم
Background: Laparoscopic techniques for the placement of peritoneal dialysis catheters are becoming increasingly popular. Recently, with the improvements in laparoscopic surgery, various methods for the insertion of peritoneal dialysis catheters have been reported, indicating that the laparoscopic insertion is preferred over the open and percutaneous techniques. The aim of this study was to int...
متن کاملFull Reviews Prevention of peritoneal dialysis-related infections
The use of peritoneal dialysis (PD) varies widely from country to country, with the main limitation being infectious complications, particularly peritonitis, which leads to technique failure, hospitalization and increased mortality. A large number of prophylactic strategies have been employed to reduce the occurrence of peritonitis, including the use of oral, nasal and topical antibiotics, disi...
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ورودعنوان ژورنال:
- Nephrology
دوره 9 Suppl 3 شماره
صفحات -
تاریخ انتشار 2004