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Peritoneal dialysis practice in Australia and New Zealand: A call to action
journal contributionposted on 2023-05-17, 08:11 authored by Matthew JoseMatthew Jose, Johnson, DW, Mudge, DW, Tranaeus, A, Voss, D, Walker, R, Bannister, KM
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.
Department/SchoolMenzies Institute for Medical Research
PublisherBlackwell Publishing Asia
Place of publication54 University St, P O Box 378, Carlton, Australia, Victoria, 3053
Rights statementCopyright © 2011. The definitive published version is available online at: http://www.interscience.wiley.com