Extra Corporeal Dialysis

Other than Peritoneal Dialysis, electrolytic chloroxidizer is used as well in extra-corporeal dialysis. Because of the fact that the dialytic circuit is considered an extension of the blood circuit of the patient, it is imperative to adopt universal precautions in order to avoid potential transmission of infections. In chemical disinfection, the requirements for dialysis monitors disinfections are activity versus bacteria, viruses, fungus and protozoa capability to reduce pyrogens capability to...

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)...

Methods

This is a retrospective single-center study based on patients' records and data files. The Hospital Civil de Guadalajara is a large tertiary-care facility that offers dialysis to patients of low social strata and no medical insurance. Since 1989, we have kept an epidemiological surveillance of the episodes of peritonitis in our CAPD program. All patients who started CAPD between July 1st, 1989, and June 30th, 2003 were eligible for the study. From July 12, 1989 to May 12, 1999, both Dianeal...

Disinfection of Disposable Dialysis Tubing

The rate of continuous cycler PD use in the hospital setting is increasing. Using a cycler frees up the nurse's time. Instead of performing 4-8 manual exchanges per day, the nurse can put up enough dialysate for a day with one connection to initiate the cycle and one disconnection to terminate the cycle. Infection rate decreases due to fewer connect disconnect procedures where touch contamination is possible. The patient can be disconnected for procedures and then reconnected to the same line....

Biofilm and Disinfection in Dialysis

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...