Peritoneal Dialysis-Related Infection in the Older Population

Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis
Cheuk-Chun Szeto

Abstract

With appropriate training and adequate support, it is possible to keep the peritonitis rate of elderly peritoneal dialysis (PD) patients at a highly respectable level. In general, the latest recommendations for the treatment and prevention of PD-related infections by the International Society for Peritoneal Dialysis (ISPD) are applicable to older patients. However, there are minor differences in the spectrum of causative organisms amongst elderly patients, with coagulase-negative staphylococcal species (CNSS) and Enterobacteriaceae species being more common in elderly patients. Elderly PD patients who develop peritonitis have an excessive short-term mortality, and, amongst elderly patients, a high burden of comorbid load increases the risk of relapsing episodes. In addition, technical problems, social difficulties, and concomitant comorbid diseases often have profound effects on the risk of peritonitis as well as its management.

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Citations

Oct 25, 2016·Kidney International·Edwina A BrownAlan S Kliger
Sep 22, 2017·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·C-C Szeto, P K-T Li
Apr 1, 2017·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Mark A Toleman
May 28, 2016·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Martin Wilkie
Jul 6, 2019·Frontiers in Medicine·Mert EsmeMurat Akova
Sep 28, 2018·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Liliana GadolaClaudia Cardozo

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