Questions About PD
We thank you for your interesting question. Your question concerns the practice of wearing of masks and pulling of the curtain around the bed during a PD bag exchange for PD patients in the hospital. Your current practice is appropriate and is also our local practice. However, it should be noted that in the U.K. it is not usual practice for patients and nurses to wear a mask while performing a PD bag exchange, except if the patient has cold symptoms, sneezing etc. or is admitted to hospital and is on respiratory isolation. In Brazil, for some units it is standard practice to wear masks while performing a PD bag exchange, for other units it is not standard practice. There is no specific research evidence to show that use of a mask during a PD bag exchange prevents peritonitis (1). It should also be noted that in the most recent 2016 ISPD peritonitis guidelines page 484, it is stated: “General measures concerning exit-site care and meticulous hand hygiene during the dialysis exchange have been recommended and should be emphasized during patient training. Wearing a face mask during dialysis exchange is optional” (2).
- Figueiredo, AE, Poli de Figueiredo, CE, & d’Avila, DO. Peritonitis prevention in CAPD: to mask or not? Peritoneal Dialysis International 2000; 20(3):354-358.
- Li PK-T., Szeto CC, Piraino B, de Arteaga J, Fan S, Figueiredo AE, et al. ISPD Peritonitis recommendations: 2016 update on prevention and treatment. Peritoneal Dialysis International 2016; 36:481–508. Available at: http://www.pdiconnect.com/content/36/5/481.full.pdf+html