Abstract: Objective To explore the hierarchical management approach (HMA) using for prevention from peritonitis among out patients with periloneal dialysis． Methods According to hierarchical management criteria, the patient from different groups received different intervention respectively. The intervention was based on the primary nurse follow-up management model and the social support system of the patient. Results During 2009 to 2012, patients’number for each primary nurse increascd from 80 tO 90～110, whilet the rate of peritonitis did not increased and the rate of drop out declined in our PD center. Conclusion HMA could increase PD nurse's work efficiecy and ensure care quality at the same time．It would work as an effective method for controlling peritonitis for PD program.

Key words: Disease management, Peritoneal Dialysis, Peritonitis