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Questions about PD? Ask!

Question:

Jennifer G
from Wisconsin asked on May 06, 2014:



I am tracking PD related infections and using POET software from Baxter. Do others use any other tracking tools? My other question is regarding counting infections. If an exit site is cultured and treated empirically but no purulent drainage noted, is this considered an exit site infection for tracking purposes (gram stain GPC in pairs, culture large number alpha strep, coryneorm - is this contaminant? Also are there more specific guidelines for counting culture negative peritonitis? Is an elevated cell count and improvement with 3-7 days of antibiotics considered in your count (culture negative)? Is it best to collaborate with local infectious disease group in labeling these infections? Thanks



Answers:

Expert A, from (United States):
No, we don't use the POET software to track infections but it is a very useful tool to do so.

In my opinion, any episode that the clinician judges requires antibiotics - even if the culture is negative - should be counted as an infection.

Large PD programs generally have a lot more experience than local ID specialists for most PD-related infections. I have found them particularly useful only when the infection is from unusual organisms.

Disclaimer: The answers represent personal views of the experts. The readers should use their own discretion in interpretation and application of the answers and the ISPD does not hold liability for such usage.


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