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Peritoneal Fluid Analysis in Peritoneal Dialysis –Associated Peritonitis
A 62-year-old woman undergoing peritoneal dialysis (PD) presented to the clinic with severe abdominal pain and cloudy PD fluid. Seven days prior, she inadvertently broke aseptic technique when tightening a leaking connection of her PD catheter tubing. Cloudy fluid that was drained from her PD catheter was sent for laboratory analysis. What would you do next?
Source: JAMA - Journal of the American Medical Association - November 10, 2022 Category: General Medicine Source Type: research

< em > Clostridium difficile < /em > colitis and peritoneal dialysis associated peritonitis: 'Difficile' treatment considerations
Perit Dial Int. 2022 Nov 9:8968608221132431. doi: 10.1177/08968608221132431. Online ahead of print.ABSTRACTPeritoneal dialysis (PD) associated peritonitis is the leading cause of PD discontinuation and haemodialysis transfer. Current guidelines strongly recommend prompt initiation of empiric broad-spectrum intraperitoneal antibiotics, with suspected peritonitis. Clostridium difficile colitis is one of the most common healthcare-associated infections, with increased morbidity and mortality among end-stage kidney disease patients. Clinical presentation is mainly characterised by diarrhoea of varying severity, which may event...
Source: Peritoneal Dialysis International - November 9, 2022 Category: Urology & Nephrology Authors: Anna Giuliani Silvia Lerco Sabrina Milan Manani Matteo Marcello Ilaria Tantillo Roberto Nicolin Claudio Ronco Monica Zanella Source Type: research