Surgical Peritonitis: Its Relevance to the Pathogenesis of Peritonitis in CAPD

A Review of Hemodialyzer Reuse

“…Hemodialyzer reuse was first described in 1964 by Shaldon(1), who refrigerated coil dialyzers containing the patient's heparinized blooduntil the nextdialysis. Reuse of dialyzers then underwent a series of refinements and becameprogressively widespread, initially for reasons of convenience in homehemodialysis programs toreduce the need for rebuilding of Kiil dialyzers, and later for costcontainment and improved dialyzer biocompatibility.…”

Gram Negative Rod Peritonitis in Peritoneal Dialysis

“…Peritonitis, or inflammation of the peritoneal membraneand the peritoneal cavity, has historically been divided into two etiologiccategories. Primary, orspontaneous peritonitis, is characterized by bacterial infection with a singleorganism in the presence of ascites due to cirrhosis or minimal change disease.Secondary peritonitisis due to injury to the gastrointestinal tract with leakage of biliary, bowel,or pancreatic contents into the peritoneal cavity; many of these episodes arecharacterized byinfection with multiple organisms, especially anaerobic and Gram negative flora(1). Peritonitisassociated with peritoneal dialysis (PD) shares many featuresof primaryperitonitis: it is associated with intraperitoneal fluid, and is usually due toinfection by one organism.…”