The CARI Guidelines – Caring for Australians with Renal Impairment Dialysis Adequacy – Peritoneal Dialysis

Selection of patients for automated peritoneal dialysis versus continuous ambulatory peritoneal dialysis

GUIDELINES a. Patients receiving automated peritoneal dialysis (APD) treatment report significantly more time for work, family and social activities (Level II evidence; single good quality RCT, clinically relevant outcome, strong precise effect). APD should be prescribed in preference to continuous ambulatory peritoneal dialysis (CAPD) for patients in whom minimising the time spent performing p...

KHA-CARI Guidelines – Caring for Australasians with Renal Impairment

Catheter exit site/tunnel infections are a major cause of S. aureus peritonitis in peritoneal dialysis (PD) patients. Hence, the prevention of ESI and tunnel infection due to S. aureus is important. A number of studies have reported that the application of mupirocin ointment intranasally or to the catheter exit site prophylactically, reduces S. aureus ESI/tunnel infection and peritonitis when c...

Are adequacy targets for peritoneal dialysis meaningful?

p eritoneal dialysis has undergone considerable change since it was first used in managing end stage renal disease (ESRD) patients in the early 1960s. Its use then was predominantly as a holding procedure for hemodialysis, and as such, it was used in a very limited number of patients. With the introduction of continuous ambulatory peritoneal dialysis (CAPD) in 1976, the use ofPD has increased d...

NKF-DOQI clinical practice guidelines for peritoneal dialysis adequacy. National Kidney Foundation.

The CARI guidelines. Evidence for peritonitis treatment and prophylaxis: prophylactic antibiotics for insertion of peritoneal dialysis catheter.

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...