We are reviewing our current practice in relation to Peritoneal Dialysis Dressing Change. Our hospital recommended antiseptic is Chlorhexidine. Is this supported by ISPD standards? What frequency for dressing change is recommended for hospitalized patients?Thank you very much & looking forward to a response.

Questions About PD

open
Public
Soma Persaud, Nurse from Toronto asked
We are reviewing our current practice in relation to Peritoneal Dialysis Dressing Change. Our hospital recommended antiseptic is Chlorhexidine. Is this supported by ISPD standards? What frequency for dressing change is recommended for hospitalized patients?Thank you very much & looking forward to a response.

1 answer

Nurse, Canada December 12, 2018

We thank you for your question. ISPD does not have specific guidelines for dressing changes for a patient on PD admitted to the hospital. In the latest “ISPD Cather-related infection recommendations: 2017 update” the authors recommend the following for routine PD catheter exit-site care for all patients:
 

  1. We recommend daily topical application of antibiotic cream or ointment to the catheter exit site.
  2. We suggest that no cleansing agent has been shown to be superior with respect to preventing catheter-related infections
  3. We recommend that the exit site be cleansed at least twice weekly and every time after a shower.
  4. We recommend that exit sites be cleansed at least daily during exit-site infection.

 
In this same article, the authors also note that chlorhexidine gluconate, 0.05% to 2% aqueous solution with or without isopropyl alcohol, is commonly used for PD catheter exit-site care. (1)
 
(1)                Szeto CC, Li P, Johnson DW, Bernardini J, Dong J, Figueiredo AE, et al. ISPD catheter-related infection recommendations: 2017 update. Perit Dial Int 2017; 37:141–54. Available at: http://www.pdiconnect.com/content/37/2/141.short?ssource=mfc&rss=1

#1

Please login to submit an answer