中国血液净化

中国血液净化 ›› 2024, Vol. 23 ›› Issue (02): 81-85.doi: 10.3969/j.issn.1671-4091.2024.02.001

• 共识与指南 •    下一篇

2023版国际腹膜透析协会腹膜透析导管相关感染防治指南建议解读

成水芹    余 乐    张志宏   俞雨生   

  1. 210016 南京，1东部战区总医院肾内科 国家肾脏疾病临床医学研究中心 全军肾脏病研究所
  • 收稿日期:2023-10-10 修回日期:2023-10-14 出版日期:2024-02-12 发布日期:2024-02-12
  • 通讯作者: 俞雨生 E-mail:yuyusheng@vip.163.com
  • 基金资助:
    国家卫生和计划生育委员会重点项目(YYS2016001)

Interpretation of the 2023 International Society for Peritoneal Dialysis guideline recommendations for prevention and treatment of peritoneal dialysis catheter-related infection

CHENG Shui-qin, YU Le, ZHANG Zhi-hong, YU Yu-sheng   

  1. Department of Nephrology, National Clinical Research Center of Kidney Diseases, Jinling Hospital, Nanjing University School of Medicine, Nanjing 210016, China
  • Received:2023-10-10 Revised:2023-10-14 Online:2024-02-12 Published:2024-02-12
  • Contact: 210016 南京，1东部战区总医院肾内科 国家肾脏疾病临床医学研究中心 全军肾脏病研究所 E-mail:yuyusheng@vip.163.com

摘要： 腹膜透析(peritoneal dialysis,PD)导管相关感染是PD患者的严重并发症，是PD导管拔除和腹膜炎发生的重要危险因素，影响PD患者的预后。2023年5月国际腹膜透析协会(International Society for Peritoneal Dialysis,ISPD)更新了《腹膜透析导管相关感染的防治指南建议》，修订和明确了PD导管出口处感染(exit site infection,ESI)和隧道感染的定义和分类，其中要求PD导管ESI的感染率不应超过每年0.4例，关于PD导管相关感染的预防和治疗提出了具体的建议，最后指出了未来研究方向。本文就该指南内容作一解读。

关键词: 腹膜透析导管相关感染, 指南建议, 预防, 治疗, 解读

Abstract: Peritoneal dialysis (PD) catheter-related infection is a serious complication in PD patients, being an important risk factor for drawing out of PD catheter and peritonitis and affecting prognosis of the PD patients. In May 2023, the International Society for Peritoneal Dialysis (ISPD) updated the guideline recommendations for PD catheter-related infection, revised and clarified the definition and classification of PD catheter exit site infection (ESI) and tunnel infection. A new target that overall PD catheter ESI rate should be less than 0.4 episodes per year was established. The specific recommendation for prevention and treatment of PD catheter-related infections was provided, and the research direction of PD catheter-related infections was proposed. In this review, we present an interpretation on this guideline.

Key words: Peritoneal dialysis catheter-related infection, Guideline recommendation, Prevention, Treatment, Interpretation

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