In general, in peritoneal dialysis (PD) practice in hospitals, Twardowski and Prowant's exit-site classification system is used, while the International Society for Peritoneal Dialysis (ISPD) exit-site scoring system is practical to use in community visits with less experienced healthcare personnel. Nevertheless, when exit-site scoring is 3 points under the ISPD exit-site score system and it falls in the category of equivocal under the Twardowski and Prowant's exit-site classification, the physician should be vigilant about the possibility of developing peritonitis, and hence, patients need to be kept under periodic monitoring.
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SchaeferF., KlausG., Muller-WiefelD.E., MehlsO.Intermittent versus continuous intraperitoneal glycopeptide/ceftazidime treatment in children with peritoneal dialysis-associated peritonitis. The Mid-European Pediatric Peritoneal Dialysis Study Group (MEPPS).J Am Soc Nephrol1999; 10(1): 136–45.
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WaradyB.A., SchaeferF., HollowayM., AlexanderS., KandertM., PirainoB.; International Society for Peritoneal Dialysis (ISPD) Advisory Committee on Peritonitis Management in Pediatric Patients. Consensus guidelines for the treatment of peritonitis in pediatric patients receiving peritoneal dialysis.Perit Dial Int2000; 20(6): 610–24.
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ElaminS., KhaierM.E., KaballoB.G., Abu-AishaH.Low sensitivity of exit site scoring system in detecting exit site infections in peritoneal dialysis patients.Clin Nephrol2014; 81: 100–4.
