A Cluster of Gram-Negative Peritonitis Episodes Associated with Reuse of Homechoice Cycler Cassettes and Drain Lines

Ponferrada, Leonor; Prowant, Barbara F.; Rackers, Joyce A.; Pickett, Barbara; Satalowich, Roberta; Khanna, Ramesh; Twardowski, Zbylut J.; Nolph, Karl D.

doi:10.1177/089686089601600616

Cited by 9 publications

(8 citation statements)

References 1 publication

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“…The work group recommends either the use of an assist device, if available, for all spiking procedures or conversion to a system that does not require spiking. Some cyclers require a cassette; if the cassette is reused, the risk of peritonitis cause by water-borne organisms is high (63,64). Cassettes should not be reused.…”

Section: Connection Methodsmentioning

confidence: 99%

ISPD Position Statement on Reducing the Risks of Peritoneal Dialysis–Related Infections

et al. 2011

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Section: Connection Methodsmentioning

confidence: 99%

ISPD Position Statement on Reducing the Risks of Peritoneal Dialysis–Related Infections

et al. 2011

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“…Some cyclers require a cassette; if reused, there is a high risk of peritonitis with water-borne organisms. Cassettes should not be reused (23,24). More research is needed comparing peritonitis risk with dry day, CCPD, and CAPD.…”

Section: Prevention Of Pd-related Infectionsmentioning

confidence: 99%

Peritoneal Dialysis-Related Infections Recommendations: 2005 Update

et al. 2005

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“…This is not recommended by the manufacturer and has been reported to lead to severe Gram-negative peritonitis. 99,100 It is neither cost saving nor time saving to re-use cassettes; patients should be instructed to never do this.…”

Section: Contamination Protocolsmentioning

confidence: 99%

Prevention of infectious complications in peritoneal dialysis: best demonstrated practices

Bender

Bernardini

Piraino

2006

Kidney International

135

125

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Peritoneal dialysis (PD) related infections continue to be a serious complication for PD patients. Peritonitis can be associated with pain, hospitalization and catheter loss as well as a risk of death. Peritonitis risk is not evenly spread across the PD population or programs. Very low rates of peritonitis in a program are possible if close attention is paid to the causes of peritonitis and protocols implemented to reduce the risk of infection. Protocols to decrease infection risk in PD patients include proper catheter placement, exit-site care that includes Staphylococcus aureus prophylaxis, careful training of patients with periodic retraining, treatment of contamination, and prevention of procedure-related and fungal peritonitis. Extensive data have been published on the use of antibiotic prophylaxis to prevent exit site infections. There are fewer data on training methods of patients to prevent infection risk. Quality improvement programs with continuous monitoring of infections, both of the catheter exit site and peritonitis, are important to decrease the PD related infections in PD programs. Continuous review of every episode of infection to determine the root cause of the event should be routine in PD programs. Further research is needed examining approaches to decrease infection risk.

show abstract

A Cluster of Gram-Negative Peritonitis Episodes Associated with Reuse of Homechoice Cycler Cassettes and Drain Lines

Cited by 9 publications

References 1 publication

ISPD Position Statement on Reducing the Risks of Peritoneal Dialysis–Related Infections

ISPD Position Statement on Reducing the Risks of Peritoneal Dialysis–Related Infections

Peritoneal Dialysis-Related Infections Recommendations: 2005 Update

Prevention of infectious complications in peritoneal dialysis: best demonstrated practices

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