Effect of Changing Transfer Set on Relapse of Bacterial Peritonitis

Wong, F.; Chau, Suet-Kwan; Chow, Ngar-Yee; Ho, Janita Chui-Fung; Cheng, Yuk Lun; Yu, Alex W.

doi:10.1016/s1561-5413(09)60164-2

Cited by 3 publications

(2 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A: Two small, single-centre studies, both conducted many years ago, showed that changing the transfer set did not reduce the incidence of relapsing peritonitis compared to not changing the transfer set. 12,13 From an informal poll of international members of the ISPD Nursing Committee (December 2019), practices do vary considerably among different countries. In general, in the United States, it is common practice to change the transfer set of a patient on PD with suspected peritonitis -the set is changed after the collection of the PD effluent sample, but before the administration of antibiotics.…”

Section: Any Suggestion On How To Collect It Safely?mentioning

confidence: 99%

See 1 more Smart Citation

PD effluent specimen collection: Your questions answered

et al. 2022

View full text Add to dashboard Cite

When a patient on peritoneal dialysis (PD) presents with suspected PD-related peritonitis (e.g. cloudy PD fluid and abdominal pain), one of the most important initial aspects of management is for the nephrology nurse/home dialysis nurse to collect PD effluent specimens for white blood cells count, Gram stain, culture and sensitivity for inspection and to send for laboratory testing before antibiotics are started. A review by seven members of the International Society for Peritoneal Dialysis (ISPD) Nursing Committee of all 133 questions posted to the ISPD website ‘Questions about PD’ over the last 4 years (January 2018–December 2021), revealed 97 posted by nephrology nurses from around the world. Of these 97 questions, 10 were noted to be related to best practices for PD effluent specimen collection. For our review, we focused on these 10 questions along with their responses by the members of the ISPD ‘Ask The Experts Team’, whereby existing best practice recommendations were considered, if available, relevant literature was cited and differences in international practice discussed. We revised the original responses for clarity and updated the references. We found that these 10 questions were quite varied but could be organised into four categories: how to collect PD effluent safely; how to proceed with PD effluent collection; how to collect PD effluent for assessment; and how to proceed with follow-up PD effluent collection after intraperitoneal antibiotics have been started. In general, we found that there was limited evidence in the PD literature to answer several of these 10 questions posted to the ISPD website ‘Questions about PD’ by nephrology nurses from around the world on this important clinical topic of best practices for PD effluent specimen collection. Some of these questions were also not addressed in the latest ISPD Peritonitis Guidelines. Moreover, when polling members of our ISPD Nursing Committee we found when answering a few of these questions, nursing practice varied within and among countries. We encourage PD nurses to conduct their own research on this important topic, focusing on areas where research evidence is lacking.

show abstract

Section: Any Suggestion On How To Collect It Safely?mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%