Premium
Peritoneal dialysis practice in Australia and New Zealand: A call to action
Author(s) -
JOSE MATTHEW D,
JOHNSON DAVID W,
MUDGE DAVID W,
TRANÆUS ANDERS,
VOSS DAVID,
WALKER ROWAN,
BANNISTER KYM M
Publication year - 2011
Publication title -
nephrology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.752
H-Index - 61
eISSN - 1440-1797
pISSN - 1320-5358
DOI - 10.1111/j.1440-1797.2010.01390.x
Subject(s) - medicine , peritoneal dialysis , peritonitis , intensive care medicine , dialysis , call to action , clinical practice , surgery , family medicine , marketing , business
Peritoneal dialysis technique survival in Australia and New Zealand is lower than in other parts of the world. More than two‐thirds of technique failures are related to infective complications (predominantly peritonitis) and ‘social reasons’. Practice patterns vary widely and more than one‐third of peritoneal dialysis units do not meet the International Society of Peritoneal Dialysis minimum accepted peritonitis rate. In many cases, poor peritonitis outcomes reflect significant deviations from international guidelines. In this paper we propose a series of practical recommendations to improve outcomes in peritoneal dialysis patients through appropriate patient selection, prophylaxis and treatment of infectious complications, investigation of social causes of technique failure and a greater focus on patient education and clinical governance.