Disinfection of Peritoneal Dialysis Lines

Using Disinfectant during an Exchange The main complication of PD is peritonitis, mostly due to line or touch contamination. Using the standard technique for continuous ambulatory PD described by Oreopoulos, the peritonitis rate was approximately 1 episode every 15 patient-months at best 1 . It was not until the concepts of 'flush before fill' using the Y-set connectology also known as the Perugia system and decreasing the number of connections by using pre-connected systems or a cycler, did...

Sodium Hypochlorite And Cathether Hubs

Renal Data Systems USRDS 2004 Annual Data Report Atlas of End Stage Renal Disease in the United States Bethesda, MD, National Institutes of Health, National Institutes of Diabetes and Digestive and Kidney Diseases, 2004. 2 Mendelssohn DC, Ethier J, Elder SJ, Saran R, Port FK, Pisoni RL Haemodialysis vascular access problems in Canada results from the Dialysis Outcomes and Practice Patterns Study (DOPPS II). Nephrol Dial Transplant 2006 21 721-728. 3 Maki DG Sources of infection with...

Peritoneal Dialysis

Therefore, it is easily understandable why the problem of prevention and therapy of infectious complications in patients on CAPD has attracted a lot of interest, due to the high, direct risk of infections intrinsic in this treatment. As far as the prevention of peritonitis is concerned, consideration has been reserved to chemical agents (antisepsis). Their use has been proposed and in some extent applied in order to try to kill the micro-organisms possibly contaminating the distal end of the...

Sodium Hypochlorite For Catheter Care

More than 20 of the world's population use a catheter for dialysis, despite guidelines limiting their use. Although the structure and design of the catheters differ by manufacturer, the material used in central venous catheters and peritoneal dialysis catheters are the same across manufacturers. Given the long-term use of these catheters in the dialysis population, the good compatibility of the antiseptics and disinfectants used on the catheters is imperative to prevent failure and cracking of...

Chronic Exit Site Care of Healed Exit Site

Although sterile dressings are recommended until the exit is well-healed, there is no clear consensus as to when patients may begin to shower or change to chronic exit-site care. When the exit-site can be classified as good or equivocal, then showering and chronic care are appropriate 10 . The primary goal of exit-site care is to prevent ESIs and TIs. Exit-site care should include 1 assessment of the exit-site 2 cleansing the exit-site 3 anchoring or immobilizing the catheter and 4 protecting...

Biofilm and Disinfection in Dialysis

Hypochlorite Sodium Biofilm

Disinfection enters the quality assurance program in dialysis and represents part of the various anti-inflammatory treatment strategies adopted to improve outcome in these patients. Several liquid chemical germicides or physical disinfectant techniques are commercially available and choice is based not only on effectiveness but also Fig. 1. Subsequent phases of biofilm formation with bacterial deposition a , attachment b , growing c up to a mature biofilm d onto a silicone tube from a dialysis...