Different Retraining Methods vs Usual Care on the Prevention of Peritonitis in Peritoneal Dialysis

The design is prospective, randomized, controlled study. At baseline (during the first month), they will receive a standard training program on performing bag exchange and education on the prevention of peritonitis.

Then the participants will be randomized into three groups: retraining via operation inspection (G1), retraining via verbal education (G2) and usual care (G3). Retraining will be performed every 2 months in G1 and G2 group.

During the following 2 years or a longer period, all the participants will be followed up frequently with outcome events recorded.

Inclusion criteria

• CAPD patients.
• Medically stable and receiving PD for<1 week
• age between 18 and 80 years
• self-care or doing bag exchange by a fixed assistant Exclusion Criteria
• followed up at least every 2 months
• dialyzed with glucose lactate-buffered PD solutions produced by Baxter Corp, China

Exclusion criteria

• Pregnancy;
• undergoing APD therapy
• Intolerance to the study protocols;
• Severe and unstable condition, acute or chronic inflammation disease;
• a high probability (assessed by the recruiting physician) of receiving a kidney transplant or transferring to HD or drop-out due to socioeconomic causes within 6 months;
• suffering peritonitis before receiving the interventions
• cognitive or psychological dysfunction;
• communication barrier