How do I clean my peritoneal dialysis exit site?
Procedure for Exit Site Care
- Clean your exit site.
- When showering, clean your exit site last using liquid antibacterial soap.
- Rinse off the soap with water.
- Spray your exit site with vinegar solution.
- Pat dry with dry washcloth.
- Secure your catheter with a small amount of slack to prevent pulling at the exit site.
What is appropriate care for a new peritoneal catheter exit site?
It is recommended to wash the catheter exit sites daily with liquid or antibacterial soap. Povidone iodine every 2-3 days has also been shown to decrease infection rates when compared to daily nonbactericial soap and water(8).
Do topical antibiotics reduce exit site infection rates and peritonitis episodes in peritoneal dialysis?
Conclusions: Topical antibiotics have been reported to reduce both ESI and peritonitis rates in controlled trials, and although in this audit of routine clinical practice, topical mupirocin did reduce overall ESI rates and both mupirocin and gentamicin reduced S. aureus ESIs, neither reduced overall peritonitis rates.
What is exit site infection?
Exit-site infection was defined as purulent discharge, with or without erythema of the skin at the catheter-epidermal interface. A tunnel infection may present as erythema, edema or tenderness over the subcutaneous pathway. Cultures from exit sites were obtained from drainage if present.
How long does it take to remove a PD catheter?
Procedure takes about 20 minutes. You will be in hospital for 4-6 hours.
What is gentamicin cream?
Topical gentamicin is used in adults and children 1 year of age and older to treat skin infections caused by certain bacteria. Topical gentamicin is in a class of medications called antibiotics. It works by killing bacteria that cause infections.
How do you treat an exit site infection?
Gram-positive Organism i. Obtain MD prescription for oral antibiotics: 1. Cephalexin 500 mg PO twice daily for a minimum of 14 days or longer until exit site infection has resolved, or: 2. Trimethoprim/sulfamethoxazole 80/400 mg (SS) PO daily for a minimum of 14 days or longer until exit site infection has resolved.
How long does it take for a PD catheter to heal?
While healing, you should not exercise too hard or do much lifting. The exit site should be completely healed at 4-6 weeks. It is important to prevent constipation after the catheter is placed.
Can you skip a night of peritoneal dialysis?
There is a risk of serious adverse consequences from skipping dialysis for 2 days (including life-threatening serum potassium elevations and salt and water overload).