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

journal contribution
posted 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.

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

Rights statement

Copyright © 2011. The definitive published version is available online at: http://www.interscience.wiley.com

Repository Status

  • Restricted

Socio-economic Objectives

Clinical health not elsewhere classified

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