Infectious complications remain the most significant? cause for morbidity in pediatric patients receiving
chronic peritoneal dialysis (PD). Although prophylactic measures have led to improved results in some
centers, the frequency of peritonitis in children on PD? continues to exceed that seen in adults, and peritonitis? remains the most common reason for changing dialysis? modality in children (1,2). The serious nature of? this infection led to the creation and publication in? 2000 of the Consensus Guidelines for the Treatment of? Peritonitis in Pediatric Patients Receiving Peritoneal? Dialysis (3), under the auspices of the International? Society for Peritoneal Dialysis (ISPD). Those largely? opinion-based guidelines were composed by an international committee of experts in the field of pediatric? dialysis and served as the first such set of recommendations specific to the pediatric PD population. After? the publication of those guidelines, the International? Pediatric Peritoneal Dialysis Registry (IPPR) was established to support evaluations of the impact of implementing the guidelines on a global basis and to collect? data to serve as evidence upon which future guidelines could be based. Data generated from 501 episodes of
peritonitis were collected by the IPPR and serve as a? foundation for many of the recommendations made in the? present publication。