What is a common outcome of PD technique nonadherence?

What is a common outcome of PD technique nonadherence?

• A. Improved dialysis adequacy.
• B. Increased risk of peritonitis, exit-site/tunnel infections, and reduced dialysis adequacy.
• C. No adverse effects.
• D. Faster recovery.

Answer: (B)

PD works best when sterile technique and the exchange process are followed consistently. When these steps aren’t followed, bacteria can enter during exchanges or travel along the catheter tract, making infections common. Peritonitis is a key risk, often presenting with cloudy dialysate, abdominal pain, and sometimes fever. Exit-site or tunnel infections can also occur and threaten catheter function. These infections and ongoing contamination can impair the peritoneal membrane’s ability to clear waste, reducing dialysis adequacy. So, nonadherence most often leads to higher infection risk and reduced dialysis effectiveness, rather than no adverse effects or faster recovery.

PD works best when sterile technique and the exchange process are followed consistently. When these steps aren’t followed, bacteria can enter during exchanges or travel along the catheter tract, making infections common. Peritonitis is a key risk, often presenting with cloudy dialysate, abdominal pain, and sometimes fever. Exit-site or tunnel infections can also occur and threaten catheter function. These infections and ongoing contamination can impair the peritoneal membrane’s ability to clear waste, reducing dialysis adequacy. So, nonadherence most often leads to higher infection risk and reduced dialysis effectiveness, rather than no adverse effects or faster recovery.