Peritoneal dialysis practice in Australia and New Zealand: A call to action
journal contribution
posted on 2023-05-17, 08:11authored byMatthew 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.
History
Publication title
Nephrology
Volume
16
Pagination
19-29
ISSN
1320-5358
Department/School
Menzies Institute for Medical Research
Publisher
Blackwell Publishing Asia
Place of publication
54 University St, P O Box 378, Carlton, Australia, Victoria, 3053