Peritoneal Dialysis Catheter-Associated Peritonitis

Peritoneal Dialysis Catheter-Associated Peritonitis

Article
Digestive Health
Kidney & Bladder Health
+2
Contributed byKrish Tangella MD, MBAJun 08, 2020

The topic Peritoneal Dialysis Catheter-Associated Peritonitis you are seeking is a synonym, or alternative name, or is closely related to the medical condition Peritoneal Dialysis-Associated Peritonitis.

Quick Summary:

  • The peritoneum is a thin double-layered membrane that lines the inside of the abdominal cavity, covering organs within it. Peritonitis is inflammation of the peritoneum, which may be caused by bacteria, fungi, or even by chemicals
  • When the inflammation results from a procedure known as peritoneal dialysis (PD), the condition is termed Peritoneal Dialysis-Associated Peritonitis. Peritoneal dialysis is a way to remove unfiltered waste products from the body, when the kidneys can no longer function adequately
  • Peritoneal dialysis involves filling the abdomen with a dialysis fluid (called dialysate), which filters waste products using peritoneal membrane as a filter. The fluid is left in the abdomen for a while, after which it is removed, along-with all the waste products it contains
  • The process is continuous and is often repeated many times daily (3-5 times per day including once or twice during the night). Moreover, since the patient can go about their normal activities, this procedure is termed continuous ambulatory peritoneal dialysis (CAPD)
  • Peritoneal Dialysis-Associated Peritonitis is the most common and serious complication of peritoneal dialysis. It can occur while handling dialysis catheters or due to unhygienic conditions, while performing dialysis. Diabetes, obesity, immunosuppression, and certain comorbid conditions (such as heart and lung disease, diabetes, etc.) are also important risk factors
  • The signs and symptoms of Peritoneal Dialysis-Associated Peritonitis include fever, abdominal pain, decreased urination, inability to pass stool or gas, nausea and vomiting, and presence of a cloudy fluid on dialysis
  • The condition is a medical emergency and prompt diagnosis is critical. Careful evaluation of medical history, physical examination and symptom assessment guide the diagnosis, which can be confirmed by blood tests and testing the dialysis fluid for bacteria and other pathogens
  • Peritoneal Dialysis-Associated Peritonitis can lead to severe complications including multi-organ failure due to widespread infection or sepsis, lung conditions (such as acute respiratory distress syndrome), disseminated intravascular coagulation (DIC), and peritoneal scarring that may render the peritoneum useless for future dialysis
  • The treatment involves the administration of intravenous or intra-peritoneal antibiotics (medications) and resting the abdomen with hemodialysis, until the membrane heals. However, with timely diagnosis and treatment, the prognosis of Peritoneal Dialysis-Associated Peritonitis is generally good; a complete recovery is observed in most affected individuals
  • Peritoneal Dialysis-Associated Peritonitis can be prevented by proper washing of hands and sanitizing techniques during dialysis and using prophylactic antibiotics prior to catheter insertion

Please find comprehensive information on Peritoneal Dialysis-Associated Peritonitis regarding definition, distribution, risk factors, causes, signs & symptoms, diagnosis, complications, treatment, prevention, prognosis, and additional useful information HERE.

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Krish Tangella MD, MBA

Pathology, Medical Editorial Board, DoveMed Team

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