| Theme | New Skin Care of Exit Site in CAPD | |
|---|---|---|
| Title | Preventing exit-site infection; an approach involving skin care and the most appropriate catheter position | |
| Publish Date | 1997/05 | |
| Author | Yoshimi Hasegawa | Department of nursing, Soryukai Inoue Hospital |
| [ Summary ] | Exit-site in fection is one of the most important risk factors for peritonitis leading to cessation of CAPD. There is no consensus as to the best management strategy for preventing exit-site in fection. We studied the relation between the cause of exit-site infection and catheter management in 14 patients diagnosed in 1993. The presumed causes of the infection were as follows ; inappropriate catheter placement, poor observation and skin abrasion close to the exit-site. We recommend the following three procedures. The first is to establish a precise criterion for abnormal skin state around the exit-site, so as to avoid misdiagnosis. Second, the catheter should be tightly fixed in the middle abdominal region, in which th e skin surface is relatively undisturbed by bodily movements. The lower and lateral abdominal regions are inappropriate sites. Third, an open-shower and soap-cleansing are universally applied. Selecting the optimal skin care plan should be depend on skin state and acceptance in individual patients. |
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