Questions About PD
in our experience, if the PD catheter still leaking after a month, it means that it is not properly implanted and put the patient at high risk of infection. She already had one episode of ESI, therefore keeping the catheter will put her to further risk of peritonitis, thus jeopardising the PD program. It is advisable to change the catheter (removing it) and reinsert it on the same setting provided no infection is established. We do that in our centre. So far no ISPD guideline stated on this, and the practice depends on individual centre.