Peritoneal dialysis-associated peritonitis: Difference between revisions
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Revision as of 07:24, 30 December 2014
Background
- Most common complication of peritoneal dialysis
Clinical Features
- Presentation no different from other causes of peritonitis
Differential Diagnosis
Dialysis Complications
- Dialysis-associated hypotension
- Dialysis disequilibrium syndrome
- Air embolism
- Missed dialysis (pulmonary edema)
Workup
- Send dialysate fluid for cell count, Gram stain, cx (if available)
- Cell count >100 w/ >50% neutrophils most c/w infection
Management
- Can add antibiotic to the dialysate if possible (parenteral abx not required)
- 1st gen cephalosporin or vancomycin (if pen allergic)
Disposition
- Admit