I have a pt with a PD cell count of 0 and effluent has always been clear. Preliminary culture was negative. Three days later it came back gm positive cocci. Pt has never had any symptoms and effluent remains clear. Pt is being treated with antibiotics. My question is do I classify this as peritonitis or could it be possible there was a contamination of the culture. Another culture and cell count has been done. What is the criteria to be classified as peritonitis.

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Miriam R, Nurse from New Jersey asked
I have a pt with a PD cell count of 0 and effluent has always been clear. Preliminary culture was negative. Three days later it came back gm positive cocci. Pt has never had any symptoms and effluent remains clear. Pt is being treated with antibiotics. My question is do I classify this as peritonitis or could it be possible there was a contamination of the culture. Another culture and cell count has been done. What is the criteria to be classified as peritonitis.

1 answer

This sounds like a contamination.
You can find the definitions in this recent ISPD infection guideline update.
http://www.pdiconnect.com/cgi/reprint/30/4/393

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