腹膜透析相关性腹膜炎检验流程证据总结与单中心优化经验

Peritoneal dialysis-associated peritonitisPDAPis a major complication that can lead to peritoneal dialysis failure and increased mortality. Accurate and timely identification of the causative pathogens is essential for effective treatment of PDAP. This article systematically reviewed the methods and practices for PDAP pathogen detection at the Peritoneal Dialysis Center of Guangdong Provincial Hospital of Chinese Medicine and summarized current best evidence and the technical points that were potentially affecting the culture-positive rate of PDAPfocusing on specimen collectionpre-treatmentcultivationand follow-up of initially negative cultures. By using this center as a case studythe article demonstrates how to integrate clinical evidence with practice to optimize PDAP pathogens identification and highlights key technical aspectssuch as patient education and multidisciplinary collaborationthat influence culture-positive rates. The findings offer a practical model for other centers in China.