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Evolution of Catheters Related Infections in Peritoneal Dialysis Over Three Decades: What We Learned?

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Dr Georgi Abraham, Chennai    12 January 2018

  1. It offers advantages of simplicity, reduced need of training, lack of dependence on infrastructure and location (Abraham G, et al. Contrib Nephrol. 2009;163:243-9).
  2. The focus has now moved from lowering peritonitis incidence to improving peritonitis outcome.
  3. Ideal PD delivery system should be reliable, simple and easy to use, cost-effective and safe and effective in preventing PD-related infections. ISPD guidelines state that each center should examine its own pattern of infection, causative organisms and sensitivities and adapt protocols as necessary for local conditions.
  4. Percutaneous catheter insertion by practicing nephrologists provides a short break-in period with very low mechanical and infective complications (George N, et al. Perit Dial Int. 2016;36(6):655-61).
  5. Nondiabetic status emerged as a significant risk factor for primary catheter non-function presumed to be due to more patients with lower BMI and thus smaller abdominal cavities (George N, et al. Perit Dial Int. 2016;36(6):655-61).

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