Peritonitis Management in Children on PD Peritonitis Management ...

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n n n Tra<strong>in</strong><strong>in</strong>g Content and Percent Alloted Time for Pediatric PD Theory • Functions of the kidney, pathophysiology of the RF • Osmosis/diffusion, fluid balance, decision mak<strong>in</strong>g regard<strong>in</strong>g % dextrose, etc Practical/technical skills • Aseptic technique, BP monitor<strong>in</strong>g, exitsite care, performance of CAPD exchanges, • Set-up and fınctions of the cycler • Problem solv<strong>in</strong>g alarms, etc <strong>Peritonitis</strong> • Recognition of sign and symptoms, • <strong>in</strong>itiat<strong>in</strong>g treatment, medicat<strong>in</strong>g bags for ungo<strong>in</strong>g treatment Theory 18% Practical 38% Complications 15% Other 12% <strong>Peritonitis</strong> 17% n Complications • Exit-site/tunnel <strong>in</strong>fections • Hypo/hypertension • Catheter flow problems Holloway M, et al PDI 2001;21:401-404
A Survey of <strong>Peritonitis</strong> <strong>Management</strong> <strong>in</strong> Pediatric Patients Survey completed by 76 centers 597 children
Page 1: Peritonitis <stron
Page 4: Nelson-Atkins Muse
Page 9 and 10: Months Between Peritonitis<
Page 11 and 12: Hospitalization Causes in</
Page 13: Patient Mortality on Dialysis PD In
Page 16 and 17: www.peritonitis.org
Page 18 and 19: Peritonitis Episod
Page 21: Pediatric Peritonitis</stro
Page 24 and 25: Rating Guidel<stro
Page 30 and 31: Retrainin<
Page 32 and 33: Guideline 2 Cathet
Page 36 and 37: Gram Negative Peritonitis</
Page 38 and 39: Intravenous antibiotic prophylaxis
Page 40 and 41: Guideline 4 Chroni
Page 42 and 43: Exit-Site Infections per Patient Ye
Page 44 and 45: Guideline 6 Adjunc
Page 46: Touch Contaminatio
Page 49: Guideline 7 Ostomy
Page 53 and 54: Prophylaxis for PEG Insertion Anti-
Page 55 and 56: Ciprofloxacin Imip
Page 57 and 58: Guideline 10 Empir
Page 59 and 60: Empiric Therapy Pediatric Start <st
Page 61 and 62: In vitro Resistance Rates 80 60 40
Page 63 and 64: Gram-positive bacteria on culture S
Page 65 and 66: Antibiotic Dosing
Page 67 and 68: Culture-Negative Peritoniti
Page 69 and 70: Rationale for Discontin</st
Page 71 and 72: Guideline 15 Relap
Page 73 and 74: Relapsing
Page 75 and 76: Indications for Catheter Removal fo
Page 77 and 78:
Exit-site / Tunnel Infection
Page 79 and 80:
Guideline 18 Diagn
Page 81 and 82:
Oral Antibiotics Used in</s
Page 84:
1. Children’s Ho
Page 89 and 90:
Causative Organisms at Exit-Site %
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