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NNH Clinical Protocol

PD Peritonitis Prophylaxis Assistant

Procedure-specific antibiotic prophylaxis recommendations for peritoneal dialysis patients, based on ISPD 2016 guidelines and a 2021 review by Hsueh, Hu, & Shah.

📚 ISPD 2016 Guidelines (Li et al.)📄 Hsueh, Hu, Shah - Kidney Dis 2021⚠️ For NNH clinical staff only
Clinical decision support, not a substitute for clinical judgment. Verify allergies, drug interactions, and renal/hepatic dose adjustments before administration. ISPD recommendations are grade 1A only for PD catheter insertion; other recommendations are based on retrospective data and expert consensus.

Reference

Hsueh L, Hu SL, Shah AD. Periprocedural Peritonitis Prophylaxis: A Summary of the Microbiology and the Role of Systemic Antimicrobials. Kidney Dis (Basel). 2021;7(2):90–99. doi:10.1159/000513773.

Li PK, Szeto CC, Piraino B, et al. ISPD peritonitis recommendations: 2016 update on prevention and treatment. Perit Dial Int. 2016;36(5):481–508.

Disclaimer: This clinical decision support tool was developed for educational and informational purposes only. It is intended to support, not replace, the independent medical judgment of qualified healthcare professionals. Use of this tool does not establish a physician-patient relationship and should not be relied upon as the sole basis for diagnosis or treatment decisions. Clinical management must always be individualized based on the patient’s specific medical condition, history, and the treating provider’s professional judgment.

Developed by Craig G. Hurwitz, MD

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