Which arrangement should be planned for a PD patient traveling to a remote area to ensure continuity of care?

• A. Continuation of PD care with a local provider
• B. Switch to hemodialysis temporarily
• C. Discontinue PD during travel
• D. Use non-sterile supplies if sterile supplies are unavailable

Answer: (A)

Plan to continue peritoneal dialysis with a local provider at the travel destination. This approach keeps the same modality, reduces infection risk by maintaining access to proper sterile technique and support, and ensures the correct prescription and supplies are available. A local PD-capable clinician can troubleshoot issues, monitor the catheter, and provide timely care if problems arise, which helps prevent interruptions in dialysis and potential complications. Relying on non-sterile supplies, discontinuing PD, or switching to another modality adds risk of infection, underdialysis, or missed treatments. If local PD care isn’t available, a temporary switch to another modality may be considered, but continuity with a PD-enabled local provider is the preferred plan for safe travel.