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Questions About PD

  1. When you are not using your catheter right away. How frequently do you do irrigation and heparinization of your catheter in your pediatric population? Normally, we do ins/outs once a week and we heparinize the catheter post ins/outs. what is the longest time between ins/outs you have done. Did your patients developed fibrin or blockage..

  2. Baxter Healthcare recently sent out an Urgent Medical Device Correction notification (Jan 2022) regarding the MiniCap Extended Life PD transfer sets and the use of cleaning products causing damage if come into direct contact (hand sanitizer, hydrogen peroxide, bleach, alcohol, or antiseptic agents, solvents used to remove adhesive residue). It has been our policy to cleanse the exterior portion of the transfer set prior to connection and disconnection with Alcavis. Due to the recent notification we have stopped this practice but are hoping to find out what others are doing in replace of this practice. We have been told Povidone Iodine or soap and water are both acceptable to clean the transfer set and catheter. Patients that shower daily, this can take place while in the shower but what about the patients that are not bathing daily, what would be an alternative to cleaning the transfer set and catheter? Any thoughts or suggestions would be greatly appreciated.

  3. In the case of peritonitis patients who instill only 1L or 1.5L of dialysate, when antibiotics is prescribed as an intermittent dose 1g/IP, I am concerned about whether 1g should be mixed with 2L of dialysate or 1g should be mixed with only 1L or 1.5L of dialysate left.