Most common complication of peritoneal dialysis.  The patient uses their peritoneum as a dialysis membrane in conjunction with a surgically placed dialysis catheter that penetrates the abdominal wall.  Either at night or multiple times during the day peritoneal fluid is infused into the abdomen in an ambulatory setting or at home.
Diagnosis of peritonitis usually is made by the patient when a cloudy dialysis effluent is noted, increased abdominal pain or white blood cells (WBCs) in the dialysate
Staphylococcus aureus or Staphylococcus epidermidis most common
Gram-negative enteric organisms.
Increased risk of MRSA related infections
Peritoneal dialysis-associated peritonitis
Abdominal pain standard differential also applies to patients with peritoneal dialysis, in addition to concern for peritonitis
Spontaneous bacterial peritonitis
Dialysis-associated hypotension
Abdominal compartment syndrome
Dialysis disequilibrium syndrome
Ureteral stent complications
Air embolism