7%) patients were transferred to HD which resulted from peritonitis/ exit-site and/or tunnel infection
in 85 (64.
One participant had a co-existing bacteremia and tunnel infection
(also reported above), which grew MSSA from the blood cultures.
Successful PD programs make every attempt to prevent catheter-related infections, which include exit-site and tunnel infections
, and peritonitis.
Exit site infections (ESIs) and/or tunnel infections
often precede an episode of peritonitis and are significant as they may lead to peritonitis and PD catheter removal (Piraino, 1996).
A brand new PD catheter should be dressed with a non occlusive dressing that is changed only under sterile conditions by a PD nurse to prevent early bacterial colonization and exit site or tunnel infection
(Gokal et al.
2,6) Conditions that make therapy more difficult include cuff and/or tunnel infections
or infections due to resistant or virulent organisms, such as Pseudomonas sp.
2004) was done to assess variables associated with CVC exit sites, tunnel infections
, bacteremia and sepsis.
Prophylaxis for exit/ tunnel infections
involve an extending tenderness, erythema, or induration along the subcutaneous tract of a tunneled catheter.