Diaz-Buxo J A, Crawford T L
Fresenius Medical Care North America, Lexington, Massachusetts, USA.
Adv Perit Dial. 2000;16:229-32.
The increased use of automated peritoneal dialysis (APD) and the inherent differences between continuous ambulatory peritoneal dialysis (CAPD) and APD have generated interest in the treatment of peritonitis in cycler patients. This review considers variations in the incidence of peritonitis and in its microbiological spectrum among CAPD and APD patients, and discusses the potential causes for these variations, with emphasis on recent literature. Flow-pattern variances between CAPD and APD demand special considerations in the diagnosis of peritonitis. Multiple alternatives for the management of peritonitis in APD are discussed in light of recent clinical experiences and pharmacokinetic considerations.
自动腹膜透析（APD）使用的增加以及持续性非卧床腹膜透析（CAPD）与APD之间的内在差异，引发了对循环机患者腹膜炎治疗的关注。本综述考虑了CAPD和APD患者腹膜炎发病率及其微生物谱的差异，并讨论了这些差异的潜在原因，重点关注近期文献。CAPD和APD之间的血流模式差异在腹膜炎诊断中需要特别考虑。根据近期临床经验和药代动力学考虑因素，讨论了APD中腹膜炎管理的多种选择。
