腹膜透析导管出口处感染的诊疗新进展  

Progress in diagnosis, treatment and prevention of catheter exit site infection in peritoneal dialysis

作　　者：成水芹(综述) 俞雨生(审校) CHENG Shuiqin;YU Yusheng(National Clinical Research Center of Kidney Disease,Jinling Hosptial,Nanjing University School of Medicine,Nanjing 210016,China)

机构地区：[1]东部战区总医院国家肾脏疾病临床医学研究中心,全军肾脏病研究所,南京210016

出　　处：《肾脏病与透析肾移植杂志》2022年第3期281-285,295,共6页Chinese Journal of Nephrology,Dialysis & Transplantation

基　　金：江苏省临床医学中心项目(YXZXA2016003)。

摘　　要：导管出口处感染(ESI)是腹膜透析(PD)的常见并发症,也是出现腹膜炎和拔除PD导管的主要危险因素。PD导管ESI的早期诊断、积极治疗和预防是保证长期PD的关键。一旦患者出现导管ESI,需尽早去除相关因素,合理使用抗生素,必要时拔除或更换导管。本文拟就PD导管ESI的诊断、治疗和预防最新进展作一综述。Catheter exit site infection(ESI) is a common complication of peritoneal dialysis(PD), and a major risk factor for peritonitis or catheter removal. Early diagnosis, intensive treatment and prevention of catheter ESI is the key to ensure long-term PD therapy. Once catheter ESI occurred in PD patients, the relevant factors should be removed as soon as possible, antibiotics should be used rationally, catheter removal and replacement may be indicated. In this paper, we review the latest progress in diagnosis, treatment and prevention of PD catheter ESI.

关 键 词：腹膜透析 出口处感染 治疗 预防 

分 类 号：R47[医药卫生—护理学]