Questions About PD
We thank you for your question. There are no specific ISPD guidelines that we are aware of relating to this topic and, thus, unfortunately, we are not able to give you guidance on your question. While the ANNA Core Curriculum for Nephrology Nursing lists the important steps to take on changing a transfer set with a titanium connector, the disinfectant to use is not specified (1). There is one recently published study on this topic performed in a laboratory setting (2).
From an informal survey of members of the ISPD Nursing Liaison Committee members we found that the practice in PD units around the world is quite varied: for example, in Canada, some of our PD units use chlorhexidine with 4% isopropyl alcohol; in Brazil, some units use chlorhexidine and others povidone iodine; in the US, some units do use Alcavis, while in Japan, units use povidone iodine. Moreover, many units in the UK and New Zealand use plastic connectors, not titanium ones. Certainly, a topic that would benefit from further research.
- Counts CS, editor. Core curriculum for nephrology nursing. American Nephrology Nurses’ Association; 2020.
2. Firanek C, Szpara E, Polanco P, Davis I, Sloand J. Comparison of disinfection procedures on the catheter adapter-transfer set junction. Peritoneal Dialysis International. 2016 Mar;36(2):225-7. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4803372/pdf/pdi_36_2_020.pdf