Vol 15, No 1 (2022)
Case report
Published online: 2022-03-31
Is it mandatory to apply dressing on the exit site of the Tenckhoff catheter?
DOI: 10.5603/RDTF.2022.0004
Renal Disease and Transplantation Forum 2022;15(1):32-35.
Abstract
To prevent infectious complications in peritoneal dialysis, procedures of caring for peritoneal catheters must be followed. As per standard practice, the exit site of the peritoneal catheter should be secured with an appropriately made dressing. However, it appears that it is acceptable to keep the peritoneal catheter without a dressing in some special situations. The following study presents cases of patients successfully managed in this way without infectious complications.
Keywords: peritoneal dialysisTenckhoff catheterinfectious complicationsprevention
References
- Crabtree JH, Shrestha BM, Chow KM, et al. Creating and maintaining optimal peritoneal dialysis access in the adult patient: 2019 update. Perit Dial Int. 2019; 39(5): 414–436.
- Szeto CC, Li PKT, Johnson DW, et al. ISPD catheter-related infection recommendations: 2017 update. Perit Dial Int. 2017; 37(2): 141–154.
- Burkart JM, Bleyer A. Peritoneal catheter exit-site and tunnel infections in peritoneal dialysis in adults. UpToDate. 2020; 13.
- Mushahar L, Mei LW, Yusuf WS, et al. Exit-site dressing and infection in peritoneal dialysis: a randomized controlled pilot trial. Perit Dial Int. 2016; 36(2): 135–139.
- Lichodziejewska-Niemierko M, Wojtaszek E, Suchowierska E, et al. Profilaktyka i leczenie powikłań infekcyjnych dializy otrzewnowej — zalecenia Grupy Roboczej ds. Dializoterapii Otrzewnowej Polskiego Towarzystwa Nefrologicznego. Nefrologia i Dializoterapia Polska. 2019; 23: 72–78.
- Lichodziejewska-Niemierko M, Chmielewski M, Wojtaszek E, et al. Current epidemiology and practice patterns in prevention and treatment of PD-related infections in Poland. Int Urol Nephrol. 2019; 51(2): 335–341.
- 3M Company. 2005. 3M Material safety data sheet 3M (TM) Tegaderm (TM) Transparent Dressing. Katalog. ttps://multimedia.3m.com/mws/mediawebserver?mwsId=SSSSSuUn_zu8l_gI4xt958tBlv70k17zHvu9lxtD7SSSSSS--.
- HARTMANN. Spec.-No.: D 7.0402a Department: PHSA-RD Date: 08.09.2016. Technical Data Sheet Omnifix® E. Katalog. https://cdn.hrt.cloud/document/TDS_100002410.pdf.
- ZARYS International Group sp. z o.o. sp.k.. Materiały opatrunkowe. Katalog 2020. https://zarys.pl/_pliki_/boksy/16061339241142.pdf.
- Batist Medical. Katalog produktów 2019. . https://www.batist.com/wp-content/uploads/2020/05/BATIST_en-pl_2019_web.pdf.
- Zaremba Kieć-Świerczyńska M, Kręcisz B, Świerczyńska-Machura D. Tworzywa akrylowe jako istotne źródła alergii kontaktowej pochodzenia zawodowego i pozazawodowego. Medycyna Pracy. 2004; 55: 357–361.
- Mestach L, Huygens S, Goossens An, et al. Allergic contact dermatitis caused by acrylic-based medical dressings and adhesives. Contact Dermatitis. 2018; 79(2): 81–84.
- Taheri S, Ahmadnia M, Mortazavi M, et al. Comparing the effect of dressing versus no-dressing on exit site infection and peritonitis in chronic ambulatory peritoneal dialysis patients. Adv Biomed Res. 2017; 6: 5.
