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The information of Kidney failure

Due to chronic renal failure patients with malnutrition, poor health, low resistance, and draintreatment repeatedly operate and to drain fluid, drain pipe stimulation, and many other reasons,therefore, easy to cause peritonitis. The common cause of peritonitis clinical are:

(1) most catheter lumen catheter infection cavity infection occurs at the interface of accidentalpollution, such as hand contact with pollution, dialysis tube mouth open, make the bacteria enterthe tube. At present, with the y-shaped pipe and the application of titanium joints, pipe infectionhas been significantly reduced.

(2) catheter infection of the catheter exit or subcutaneous tunnel when infected with bacteria caninto the abdominal subcutaneous tissue around the catheter infection.

(3) bowel wall wear infection in ischemic bowel disease patients or bowel room rates, if cultivate

anaerobic bacteria in the liquid to drain or a variety of bacteria, doubt from the gut bacteriainfection.Tuberculous peritonitis

(4) the blood-borne infection, cirrhosis associated with ascites can occur in patients withspontaneous bacterial peritonitis, few can also occur after acute upper respiratory tract infectionpatients with bacterial peritonitis, blood cultures are positive.

(5) the external environment infection, while taking a bath water into the abdominal cavity

peritonitis can occur from the exit.

Diagnosis of bacterial peritonitis, should at least have two of the chronic kidney disease(ckd)treatment following three criteria: (1) the signs and symptoms of peritonitis; (2) to drain fluidturbidity, WBC > 100 cells/mm3, neutrophils > 50%; (3) by the gram staining or culture to provethat bacteria were found to exist in the liquid to drain. Fungal peritonitis or tuberculous peritonitismust find the mold or tuberculosis.

Peritonitis has the following four types: (1) bacterial peritonitis: conforms to the diagnostic criteria,antibiotic treatment is effective. (2) chemical peritonitis: at the same time in patients with the samebatch number dialysate. Many are the dialysate pH is too low, quality is too poor or to certainchemical composition of peritoneal stimulation, the antibiotic treatment is invalid. (3) the moldperitonitis: the liquid to drain mould contamination, antibiotic treatment is invalid and anti-fungalmedicine treatment is effective. (4) higher acidophil peritonitis: allergic to drain tube silicone orallergic to drain fluid of heparin, antibiotics, at the same time with more medicine hot, drugeruption, increased blood acidophil and increased acidophil liquid to drain. Antibiotic treatment isinvalid. Looking for allergens, remove allergens, to be effective allergy treatment.

If can effectively avoid all kinds of infection factors, can prevent the happening of the peritonitis.Specific measures are as follows: (1) when you change the dialysate in strict accordance with theoperational procedures, do not have any negligence. (2) to avoid the dialysate bag add drugs, if

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must add, should be under strict aseptic conditions. (3) pay attention to the catheter mouth care.(4) pay attention to personal hygiene, to prevent the pipe mouth water when bathing, should takea shower, absolutely can't wash bath. (5) in case of skin redness, kidney failure(renal failure)treatment pain and discharge at the exit, actively deal with immediately. 6. Pay attention toexercise at ordinary times, prevent colds. 7 maintain defecate unobstructed, prevent intestinalinfection.

If care is undeserved, peritonitis happens to deal with in a timely and effective manner, to preventperitoneal adhesion, hypertrophy, and loss of function. In patients with treatment principle is asfollows: (1) education found signs of peritonitis, immediately the peritoneal fluid drainage,drainage liquid bag on one side, prepare to a hospital assay and develop. (2) with 1.5% of thedialysate 1 liter immediately flush the abdominal cavity, three times in a row, to removeinflammatory products, such as abdominal pain relief. (3) to go to the hospital right away, at everytime of clearing dialysate, before joining in fresh dialysate bag antibiotics and heparin. (4) theinitial 24 hours should be replaced to take over, prevent the recurrence of abdominal cavity

infection. (5) antibiotic vancomycin and general appropriate choice for amino glucoside orcephalosporin class, when the liquid to drain the inspection results come out, can according to theresult of culture and drug susceptibility to replace antibiotics. 6. Treatment should be until clinicalsymptoms disappeared, dialysate clearing, release fluid white blood cell count is less than 100cells/mm3, germiculture negative. All landowners, such as in the proper potent antibiotics 2 weeksstill cannot control the peritonitis, should stop drawing tube through. Temporary change ofhemodialysis, again after a month "as catheter to drain a fresh start.

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