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

How do you advise a peritoneal dialysis patient who wants to go swimming?

• I encourage swimming in seawater or well-maintained chlorinated pools, emphasizing strict exit site cleaning and care after swimming
• I advise against swimming in lakes, rivers, hot springs, bathtubs, hot tubs/jacuzzis, or any stagnant body of water due to infection risks
• I recommend avoiding swimming in open water directly after storms to limit exposure to waterborne pathogens
• I suggest the use of a colostomy bag to protect the catheter and exit site
• I recommend that peritoneal dialysis patients should avoid swimming
• Other