I was asked to do a home visit on a patient who needs to use a personal hot tub to relieve symptoms of a medical condition. He really wants to do PD. Is there anything a patient can do to mitigate the higher risk for infection if using a personal hot tub? We always educate patients that they are not allowed to submerge their PD catheter in bath/hot tub/lake water but okay to use personal well chlorinated pool and ocean. Any data on microbial bioburden of well maintained/chlorinated hot tubs?

Questions About PD

Ana, B, Nurse from Oklahoma asked
I was asked to do a home visit on a patient who needs to use a personal hot tub to relieve symptoms of a medical condition. He really wants to do PD. Is there anything a patient can do to mitigate the higher risk for infection if using a personal hot tub? We always educate patients that they are not allowed to submerge their PD catheter in bath/hot tub/lake water but okay to use personal well chlorinated pool and ocean. Any data on microbial bioburden of well maintained/chlorinated hot tubs?

1 answer

I think the main risk is to do with the exit site being wet for a prolonged period of time after the person leaves the hot tub (on the assumption that the hot tub is well maintained). So ensuring that they dry it adequately once they leave the hot tub will be the key.
 

#1

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