Peritoneal dialysis-associated peritonitis

Background

• Most common complication of peritoneal dialysis
• Presentation no different from other causes of peritonitis

Workup

• Send dialysate fluid for cell count, Gram stain, cx (if available)
  • Cell count >100 w/ >50% neutrophils most c/w infection

Management

• Can add [[antibiotic] to the dialysate if possible (parenteral abx not required)
  • 1st gen cephalosporin or vancomycin (if pen allergic)

Disposition

• Admit

See Also

• Dialysis complications