Peritonitis Jeopardy Template

Terminology of Peritonitis	Guidelines	Sources of Infection	Preventing Peritonitis	Causes of Cloudy Effluent
100 What is the preferred method of sampling and culture methods Blood- culture bottles are the preferred technique for bacterial culture of PD effluent	100 Describe Periluminal Source of infection -exit site/tunnel infection	100 5 ways to prevent Peritonitis Hand hygeine mask technique clean surface area Prepare room No pets Well lit room
200 What is Relapsing Peritonitis Episode caused by same genus and species of bacteria that causes the immediately preceding episode or 1 sterile episode and occurring within four weeks of completing antibiotics	200 If Culture Negative is not resolving at day 3 what should you consider? Special culture technique should be considered for isolation of unusual organisms	200 Describe Intraluminal Source of infection in the catheter	200 Name 5 things should be done to prepare a room before treatment Well lite room no open widows or doors Turn off fans and air conditioner No pets Hand Hygiene Clear area	200 Name 2 potential causes of Cloudy Effluent (Not infection related) Calcium cannel blockers Hemoperitoneum Malignancy Chylous Specimen taken from a dry abdomen
300 What is Recurrent Peritonitis Episode of peritonitis which occurs within four (4) weeks of completion of treatment for a preceding episode but with a different organism	300 What is the ISPD Culture Negative target Less than 15%	300 Describe Haematogenous Source of infection Blood	300 Doe the ISPD guidelines recommend administration of Antibiotics pre PD catheter insertion? Yes (1A highly recommended)	300 What Class of medication can cause Chyloperitoneum CCB- Cause is not know exactly why Calcium Channel blockers will do this. If associated with CCB this should resolve with discontinuation of CCB
400 What is Repeat Peritonitis Episode of peritonitis that occurs more than four (4) weeks after completion of antibiotics for an infection with same organism	400 When does ISPD recommend PD catheter removal? Refractory, relapsing or fungal peritonitis (unless contraindicated) Refractory exit-sit and tunnel infection	400 Describe Transvaginal Source of infection Vaginal	400 True or False Does Catheter design have any effect on the risk or Peritonitis False No specific design for prevention of peritonitis	400 What is Chylous effluent Milky white Contains triglyceride levels that exceed those in the plasma
500 What is Refractory Peritonitis A failure to observe clearing of the effluent after 5 days of appropriate antibiotics	500 What is needed for the diagnosis of peritonitis? 1. clinical features consistent with peritonitis, i.e. abdominal pain and/or cloudy dialysis effluent; 2. Dialysis effluent white cell count > 100/μL or > 0.1 x 109/L (after a dwell time of at least 2 hours), with > 50% polymorphonuclear; 3. positive dialysis effluent culture	500 Describer Transmural Source of infection from internal organs-bowels gallbladder Constipation	500 What are indications for retraining? Prolonged Hospitalization infection change in dexterity, vision or mental acuity change in equipment (different connection) Interruption in PD (period of time on HD)

Peritonitis

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