Peritoneal dialysis practice in Australia and New Zealand: A call to action
2011
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.
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