Which complication should be reported if cloudy effluent is observed in peritoneal dialysis?

Cloudy effluent in peritoneal dialysis is a significant clinical indicator and should raise concern for peritonitis, which is an infection of the peritoneal cavity. This condition typically arises due to bacteria entering the peritoneum, often manifested by cloudy dialysate fluid during exchanges. The presence of cloudy effluent is associated with an increase in white blood cell count and the potential need for prompt medical intervention, including adjustments to the peritoneal dialysis regimen or initiation of antibiotics, to prevent complications.

While other options might relate to different issues in dialysis or infection, they do not specifically indicate a high degree of suspicion for infection like cloudy effluent does in the context of peritoneal dialysis. Fibrin formation can occur without an infection and is usually handled non-operatively. Tunnel infections typically present with signs such as redness and tenderness at the catheter insertion site, not necessarily with cloudy effluent. Lastly, urinary tract infections would not directly cause cloudy peritoneal effluent as they relate to a different anatomical area. Therefore, recognizing cloudy effluent as a sign of peritonitis is crucial for timely management and patient safety.