Clinical guide of the Spanish Society of Nephrology on the prevention and treatment of peritoneal infection in peritoneal dialysis

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...

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Detalles Bibliográficos
Autores: Fontan, MP, Plaza, MM, Velasco, MP, Rodriguez-Navarro, CQ, Rubio, MAB, Sans, MB, Pina, VD, Contreras, JP, Gilsanz, GD, Clemente, EP, Ganga, PQ, Rodriguez, CR, Rodriguez-Carmona, A, Alvarez, ES, Diaz, NV, Rivera, MV, Fosalba, NA, Benitez, AB, Notario, MJC, Perpen, AF, Reyes, MJF, Blasi, OG, Cunquero, JMG, Mauro, JCJ, Pesquera, JIM, Vila, MAM, del Moral, MN, Lopez, TP, Perez, JP, Gorrin, MR, Suarez, CR, Camargo, MS, Cabrera, MSS
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Institución:Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL)
Repositorio:r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante
OAI Identifier:oai:isabial.fundanetsuite.com:p9646
Acceso en línea:https://isabial.portalinvestigacion.com/publicaciones9646
Access Level:acceso abierto
Palabra clave:Peritoneal dialysis
Peritoneal infection
Peritonitis
Diagnosis
Prevention
Treatment
Guideline
Descripción
Sumario: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 (Grading of Recommendations, Assessment, Development and Evaluation [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. (C) 2021 Sociedad Espanola de Nefrolog ' ia. Published by Elsevier Espana, S.L.U.

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