What causes peritonitis in peritoneal dialysis?

Peritoneal dialysis-related — Peritoneal dialysis-related peritonitis is either due to contamination with pathogenic skin bacteria during exchanges (ie, touch contamination), or to an exit-site or tunnel infection.

How common is peritonitis in peritoneal dialysis?

Peritonitis is a common and serious complication of peritoneal dialysis (PD). PD-associated peritonitis is the direct or major contributing cause of death in >15% of patients on PD (1,2).

Which is the classic symptom of peritonitis?

The first symptoms of peritonitis are typically poor appetite and nausea and a dull abdominal ache that quickly turns into persistent, severe abdominal pain, which is worsened by any movement. Other signs and symptoms related to peritonitis may include: Abdominal tenderness or distention.

Is abdominoplasty possible for patients on dialysis?

Abdominoplasty, also known as a tummy tuck, can be done on dialysis patients, but must be done with prior planning of your nephrologist and the surgeon to do the procedure. All surgeries in dialysis patients carry increased risk, and an abdominoplasty is an elective procedure. This must be very carefully considered.

How do peritonial dialysis cause hernia?

Peritoneal dialysis increases your risk for a hernia for a couple of reasons. First, you have an opening in your muscle for your catheter. Second, the weight of the dialysis solution within your belly puts pressure on your muscle. Hernias can occur near your belly button, near the exit site, or in your groin .

How do exchanges work for peritoneal dialysis?

Continuous ambulatory peritoneal dialysis (CAPD) CAPD exchanges are done by hand, using gravity to help fill your abdomen with dialysate and drain it once the dwell time is over. These exchanges are called manual exchanges. Because you need to do each exchange yourself, this type of PD must be done during the day.

How does peritoneal dialysis solution work?

The peritoneal dialysis (PD) solution works by pulling wastes and extra fluids out of the blood of a person whose kidneys do not work. The solution is introduced into the person’s abdomen through a catheter.