Description

Schaefer et al reported a disease severity score for patients with peritoneal dialysis-associated peritonitis. This can be used to monitor a patient over time and the response to therapy. The authors are from University Children's Hospitals in Heidelberg, Marburg and Hamburg.


 

Patient selection: pediatric patient with peritoneal dialysis-associated peritonitis

 

Parameters:

(1) pain/symptoms

(2) body temperature in °C

Parameter

Finding

Points

pain/symptoms

none

0

 

moderate pain and/or nausea, not requiring specific therapy

1

 

severe pain requiring analgesics OR vomiting

2

 

tense abdomen and/or paralytic bowel

3

body temperature

< 37.5°C

0

 

37.5 to 38.9°C

1

 

> 38.9°C

2

 

total score =

= SUM(points for both parameters)

 

Interpretation:

• minimum score: 0

• maximum score: 5

• The higher the score the more severe the peritonitis.

 


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