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Peritoneal dialysis technique survival in Australia and New Zealand is lower than in other parts of the world. More than two-thirds of technique failures are related to infective complications (predominantly peritonitis) and ‘social reasons’. Practice patterns vary widely and more than one-third of peritoneal dialysis units do not meet the International Society of Peritoneal Dialysis minimum accepted peritonitis rate. In many cases, poor peritonitis outcomes reflect significant deviations from international guidelines. In this paper we propose a series of practical recommendations to improve outcomes in peritoneal dialysis patients through appropriate patient selection, prophylaxis and treatment of infectious complications, investigation of social causes of technique failure and a greater focus on patient education and clinical governance.

Item Type:	Refereed Article
Keywords:	continuous ambulatory peritoneal dialysis, outcome, peritoneal dialysis, peritonitis, quality indicator
Research Division:	Medical and Health Sciences
Research Group:	Clinical Sciences
Research Field:	Nephrology and Urology
Objective Division:	Health
Objective Group:	Clinical Health (Organs, Diseases and Abnormal Conditions)
Objective Field:	Urogenital System and Disorders
Author:	Jose, MD (Professor Matthew Jose)
ID Code:	73066
Year Published:	2011
Web of Science® Times Cited:	47
Deposited By:	Menzies Institute for Medical Research
Deposited On:	2011-09-08
Last Modified:	2017-09-06
Downloads:	18 View Download Statistics