For routine care of hospitalized patients for PD exit site care what is the recommendation for routine exit site care in relation to sterile versus aseptic technique-this article recommends sterile technique & also Elsivier Hain, D.J., Chan, J. (2013). Best available evidence for peritoneal dialysis catheter exit-site care. Nephrology Nursing Journal, 40(1), 63-69. What is the recommendation from ISPD?

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Soma Persaud, Nurse from Toronto Canada asked
For routine care of hospitalized patients for PD exit site care what is the recommendation for routine exit site care in relation to sterile versus aseptic technique-this article recommends sterile technique & also Elsivier Hain, D.J., Chan, J. (2013). Best available evidence for peritoneal dialysis catheter exit-site care. Nephrology Nursing Journal, 40(1), 63-69. What is the recommendation from ISPD?

1 answer

Nurse, Canada January 27, 2019

We thank you for your question and we understand your confusion. Not only are there practice variations within countries and between countries on PD catheter exit-site care practices, there is also confusion between the terms “sterile technique” and “aseptic technique” in published articles. The authors of the article you cite from the Nephrology Nursing Journal do use the term “sterile dressing technique” but in the context of a newly implanted PD catheter. However, the authors in the text book “Contemporary Nephrology Nursing” published also by the American Nephrology Nurses Association (ANNA) use the term “aseptic technique” to describe a dressing change for a newly implanted PD catheter (1).
For all of us, it is probably most important to remember what the common goal of exit-site care is: To prevent exit-site infection. Minimizing trauma is another goal, along with assessing the exit site and tunnel for signs of infection at each dressing change and documenting the findings.

  1. Payton J. & Kennedy S.K. (2017). Peritoneal dialysis access. In S. M. Boden (Ed.). Contemporary Nephrology Nursing (pp. 363-375). Pitman, NJ: American Nephrology Nurses Association.
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