Is there evidence to support using Urokinase or equivalent to strip biofilm off PD catheter to prevent recurring peritonitis? We have done it a few times without success but some of our nephrologists keep asking nursing staff to “give it a go” as a last resort before removing catheter.

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Margot Gillies, Doctor/MD from Perth Western Australia asked
Is there evidence to support using Urokinase or equivalent to strip biofilm off PD catheter to prevent recurring peritonitis? We have done it a few times without success but some of our nephrologists keep asking nursing staff to “give it a go” as a last resort before removing catheter.

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