ISPD News

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

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PDI Connect

Questions About PD

  1. I have always performed follow up PDF Cultures 7-14 days post antibiotic treatment for peritonitis. I have been informed not all dialysis units practice this. I have searched the ISPD Guidelines on detailed recommendations but unsuccessful. Is this not necessary?

  2. May I use icodextrin 7.5% q 12 hours. Twice a day. Are there any side effects to overuse?

  3. 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: https://www.dropbox.com/sh/p6aomjsmrtshuvm/AACQR3wZvTgmuBLS4BJ29tdPa?dl=0 // 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.