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- Title
Clinical guide of the Spanish Society of Nephrology on the prevention and treatment of peritoneal infection in peritoneal dialysis.
- Authors
Pérez Fontán, Miguel; Moreiras Plaza, Mercedes; Prieto Velasco, Mario; Rodriguez-Navarro, Carlos Quereda; Bajo Rubio, María Auxiliadora; Borràs Sans, Mercè; de la Espada Piña, Verónica; Pérez Contreras, Javier; del Peso Gilsanz, Gloria; Ponz Clemente, Esther; Quirós Ganga, Pedro; Remón Rodríguez, César; Rodríguez-Carmona, Ana; Sánchez Alvarez, Emilio; Vega Díaz, Nicanor; Vera Rivera, Manel; Aresté Fosalba, Nuria; Bordes Benítez, Ana; Castro Notario, María José; Fernández Perpén, Antonio
- Abstract
Peritoneal infections still represent a most feared complication of chronic Peritoneal Dialysis, due to their high incidence and relevant clinical consequences, including direct mortality, technique failure and a significant burden for the health system. The practices for prevention and treatment of this complication show a remarkable heterogeneity emerging, among other factors, from the complexity of the problem and from a paucity of quality evidence which could permit to respond clearly to many of the raised questions. The purpose of this document is to provide a complete and updated review of the main methods of diagnosis, prevention and treatment of these infections. The document has been elaborated taking as a reference the most recent guidelines of the International Society of Peritoneal Dialysis (2016). The diagnostic considerations are presented in a narrative style while, for prevention and therapy, we have used a systematic methodology (GRADE), which specifies the level of evidence and the strength of the proposed suggestions and recommendations and facilitates future updates of the document. The length of the document and the many suggestions and recommendations coming out of the review underline the large number and the complexity of the factors to be taken into consideration for an adequate approach to this complication of Peritoneal Dialysis.
- Subjects
PERITONEAL dialysis; NEPHROLOGY; THERAPEUTIC complications; INFECTION prevention; DIAGNOSIS methods
- Publication
Nefrologia, 2022, Vol 42, p1
- ISSN
0211-6995
- Publication type
Article
- DOI
10.1016/j.nefroe.2022.07.005