Upcoming Events

  1. 9th Asia Pacific Chapter Meeting of the ISPD (APCM-ISPD 2019)

    September 5, 2019 - September 7, 2019
  2. ISBP PDSICON 2019

    September 18, 2019 - September 21, 2019
  3. ISPD Home Dialysis University for Physicians – September 2019

    September 22, 2019 - September 24, 2019
  4. ISPD PD University for Surgeons

    October 14, 2019 @ 7:45 am - 5:30 pm

PDI Connect

Questions About PD

  1. After a change for the dialysate provider four weeks ago to a solution of 2.3%, we have observed in 12 patients out of 24 the following changes: it starts with myalgia, arthralgia, disconfort, asthenia, adynamia, and a change in the colour of the draining dialysate which becomes cloudy, reddish to red, or yellowish, or bloodstained. You can see pictures on the online folder: // After this, we proceed to reduce the interval and the concentration of the dialysate liquid. After 4 days, the patients present an increase in fibrine with subsequent obsruction of the PD Cathether. We never observed this pattern with the previous fluids provider. CORRECTIVE MEASURES 1.- reduce the frequency and concentration of the PD Fluid 2.- culture and antibiogram of the peritoneal liquid 3.- culture and antibiogram of the catheter exit site 4.- change to HD 5.- communicate as an adverse effect 6.- analysis of the PD liquid 7.- hospitalisation with antibiotherapy // We should remark that we have obtained a positive culture result for Candida.

  2. My wife is on CAPD for over 2 years. She is doing well and is comfortable. Her ultrafiltration levels ranges between 1700-ml to 1900-ml per day. But now I see that her fluid levels in the body is low. She is also having low BP (90/60). Presently we are doing 4 exchanges per day (1.5% PD solution twice and 2.5% PD solution twice. Even then there is no gain in body weight. Could you please advise how to normalize her BP and increase her body weight. Her Albumin levels are around 4.

  3. What is the optimal Dwell time before collecting fluid for cell count and Cultures? Is it a minimum of 2 hours or as short as 30 minutes?