An international survey of the number of days and hours per day currently used by PD nurses around the world did not demonstrate any relationship to peritonitis rates. The number of training days and total hours of training were widely variable by country, with the US, Netherlands and Canada more similar to one another. Brazil reported less training days on average and Hong Kong reported the most training days. (Bernardini J, Price V, Figueiredo A, Riemann A, Leung D. International survey of peritoneal dialysis training programs, Perit Dial Int 2006:26(5);658-663) An international survey of pediatric training did, however find that longer training time was related to lower peritonitis rates, pst that training must continue at least until the PD trainer determines that the patient (at a minimum) can meet the following objectives:
• able to safely perform all required procedures
• able to recognize a contamination or infection
• able to list appropriate responses