Peritoneal dialysis infections: an opportunity for improvement

Am J Infect Control. 2014 Sep;42(9):1016-8. doi: 10.1016/j.ajic.2014.05.036.

Abstract

Peritoneal dialysis (PD) catheter-associated infections remain a challenging cause of technique failure. Patient training and preventive measures are key elements in the management of infection rates. Twenty-seven of the 167 PD catheter transfer sets analyzed (19%) yielded a positive microbial culture (58% gram-negative bacteria). These results show that subclinical contamination, particularly from environmental gram-negative bacteria, is a potential hazard, indicating the need for a protocol for regular transfer set changes.

Keywords: Gram-negative; Microbiology; Renal replacement therapy; Transfer set.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Catheter-Related Infections / microbiology
  • Catheter-Related Infections / prevention & control*
  • Catheterization / adverse effects
  • Catheterization / methods
  • Equipment Contamination / prevention & control*
  • Gram-Negative Bacteria / growth & development
  • Humans
  • Middle Aged
  • Peritoneal Dialysis / adverse effects*
  • Peritoneal Dialysis / methods*
  • Peritoneal Dialysis / standards