Outline of 2023 updated International Society for Peritoneal Dialysis catheter-related infection recommendations
10.3760/cma.j.cn441217-20230810-00812
- VernacularTitle:2023年版更新的国际腹膜透析学会导管相关感染推荐概览
- Author:
Xiao YANG
1
;
Na TIAN
;
Wanhong LU
;
Jin CHEN
;
Zhiming YE
;
Jie DONG
;
Kai-Ming CHOW
;
Kam-tao Philip LI
Author Information
1. 中山大学附属第一医院肾内科 卫健委和广东省重点实验室，广州 510080
- Keywords:
Peritoneal dialysis;
Catheter-related infections;
Guidebooks;
Prevention;
Treatment outcome;
International Society for Peritoneal Dialysis guideline
- From:
Chinese Journal of Nephrology
2023;39(12):964-968
- CountryChina
- Language:Chinese
-
Abstract:
Peritoneal dialysis (PD) catheter-related infections are important risk factors for catheter loss and peritonitis. 2023 International Society for Peritoneal Dialysis (ISPD) catheter-related infection recommendations have revised and clarified definitions and classifications of exit site infection and tunnel infection, such as cause-specific catheter-related infection, culture-negative catheter-related infection, refractory catheter-related infection, and infection- related catheter removal. A new target for the exit site infection rate should not exceed 0.40 episodes per year at risk. The recommendation about topical antibiotic cream or ointment to catheter exit site has been downgraded. New recommendations for exit site infection include clarified suggestion of exit site dressing cover and revised topical antibacterial agents as well as antibiotics treatment duration. In addition to catheter removal and reinsertion, new salvage options for catheter are suggested. The paper outlines the updated main content of the guide.
