What recommendations do you offer for patients who have a peritoneal dialysis catheter and who wish to swim?

Exercise is an important part of health maintenance for all individuals, including those with ESKD requiring peritoneal dialysis (PD). Swimming is an excellent form of exercise for PD patients because it is not associated with increased intra-abdominal pressure, and is a low-impact aerobic activity that is gentle on joints. Infection risks can be minimized by swimming only in situations where there is little risk of exposure to waterborne pathogens (see below). Additionally, strict attention to exit site cleaning and care after swimming can also reduce infection risks.

General recommendations for swimming with a PD catheter include:

• swimming should preferably take place in seawater or well-maintained pools (private or municipal); water acti...

Agree, avoid fresh water, hot tubs, etc.

Pools (chlorinated) and seawater are considered "fine".

I personally think a colostomy bag is a deal-breaker.