| Theme | New Skin Care of Exit Site in CAPD | |
|---|---|---|
| Title | Exit-site care using hypertonic salt gauze | |
| Publish Date | 1997/05 | |
| Author | Sachiko Suzuki | Department of nursing, Yokosuka Kyosai Hospital |
| Author | Akiko Hirowatari | Department of nursing, Yokosuka Kyosai Hospital |
| Author | Akemi Maeda | Department of nursing, Yokosuka Kyosai Hospital |
| Author | Hiroko Shiota | Department of nursing, Yokosuka Kyosai Hospital |
| Author | Akemi Hatakeyama | Department of nursing, Yokosuka Kyosai Hospital |
| [ Summary ] | Numbers of peritonitis patients have been decreasing as a consequence of improvements in CAPD procedures and instruments. However, the problem of peritonitis caused by infection at the exit-site (of CAPD catheters) has not yet been resolved. We block bacterial growth with a hypertonc environment of 3% sodium chloride. We also use hypertonic salted gauze to inhibit bacterial recolonization and inflammation by infection. Herein, we report the effects of these strategies. <Object and Method< First, we daily apply hypertonic salted gauze to the CAPD exit-site after disinfection with isodine. This was done in 4 cases in which exudation from the exit-site was detected. Second, we daily apply hypertonic salted gauze to the exit-site after disinfection with isodine. This was done in 2 cases in which discharge from the exit-site was detected. Finally, we daily apply hypertonic salted gauze to the exit-site after disinfection with isodine. This was done in 3 of 6 new CAPD patients. We also investigated the efficacy of isodine without hypertonic salted gauze for comparison. In 4 cases the exudation resolved in 4 weeks at the exit-site. The new cases have not had either erythema or exudation in 4 weeks. Thus, we evaluate the method of applying hypertonic salted gauze, when exudation is detected, as being highly effective. |
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