Events - Grand Rounds in Pediatric Nephrology – an ISN-IPNA Sister Centers initiative: Diagnosis and Management of the Child with Atypical Peritonitis

Peritoneal dialysis (PD)-related peritonitis is one of the most frequent and severe complications of PD. In this webinar, we present a case of fungal peritonitis and discuss the literature on fungal peritonitis and peritonitis caused by atypical organisms and their impact on patient outcomes. A high index of suspicion is required to recognise peritonitis caused by atypical organisms and implement appropriate treatment in a timely manner. 

A delay in diagnosis and treatment can lead to peritoneal damage, necessitating the need for PD catheter removal and may even be life-threatening. 

Learning objectives: 

• Understand when to suspect atypical peritonitis
• Assessment of appropriate diagnostic strategy
• To acquire knowledge towards high-risk patients management
• Prevention and treatment including PD catheter removal where necessary

Further reading:

1. Li PK, Chow KM, Cho Y, Fan S, Figueiredo AE, Harris T, Kanjanabuch T, Kim YL, Madero M, Malyszko J, Mehrotra R, Okpechi IG, Perl J, Piraino B, Runnegar N, Teitelbaum I, Wong JK, Yu X, Johnson DW. ISPD peritonitis guideline recommendations: 2022 update on prevention and treatment. Perit Dial Int. 2022 Mar;42(2):110-153. doi: 10.1177/08968608221080586.
2. Chadha V, Schaefer F, Warady BA. Peritonitis and Exit Site Infections. In:  Warady BA, Schaefer F, Steven A, editors Pediatric Dialysis. New York,  Dordrecht Heidelberg London New York. Springer. 2021.231-236
3. Warady BA, Bakkaloglu S, Newland J, et al. Consensus guidelines for the prevention and treatment of catheter related infections and peritonitis in pediatric patients receiving peritoneal dialysis: 2012 update. Perit Dial Int. 2012; 32(Suppl 2):  S32–S86.