Questions About PD
We thank you for your question. The authors of the latest ISPD guidelines discuss that, while antibacterial soap and water are commonly used to clean the PD catheter exit site, the efficacy has not been formally tested (1). Moreover, specifically discussing handwashing, the U.S. Food and Drug Administration (FDA) states that there is not enough evidence to show that over-the-counter antibacterial soaps are more effective at preventing illness than washing with plain soap and water. It should be noted here, the FDA rule does not apply to hand sanitizers or hand wipes; nor does it apply to antibacterial soaps that are used in health care settings, such as hospitals and nursing homes (2,3).
Our local practice is to advise patients to use liquid soap, of their choice, during shower technique on a well-healed PD catheter exit site (4).
1. Szeto CC, Li PK, Johnson DW, Bernardini J, Dong J, Figueiredo AE, Ito Y, Kazancioglu R, Moraes T, Van Esch S, Brown EA. ISPD catheter-related infection recommendations: 2017 update. Peritoneal Dialysis International. 2017 Mar 1;37(2):141-54. Available at: http://www.pdiconnect.com/content/37/2/141.full.pdf+html
2. U.S. Food and Drug Administration. Antibacterial Soap? You Can Skip It, Use Plain Soap and Water. Available at: https://www.fda.gov/consumers/consumer-updates/antibacterial-soap-you-can-skip-it-use-plain-soap-and-water. Updated April 16th, 2019.
3. Bonner L. FDA: Antibacterial soaps should be avoided. Pharmacy Today. 2016 Nov 1;22(11):32. Available at: https://www.pharmacytoday.org/article/S1042-0991(16)31225-7/pdf
4. British Columbia (BC) Renal Agency. PD Procedures: Exit Site Care ― Healed Exit Showering Procedure. November, 2017. Available at: http://www.bcrenalagency.ca/resource-gallery/Documents/PD%20Procedures-%20Exit%20Site%20Care-Healed%20Exit%20Showering%20Procedure.pdf