HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) Services Similar articles in this journal Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Piraino, B. Articles by Sorkin, M. Search for Related Content PubMed Articles by Piraino, B. Articles by Sorkin, M.

FAILURE OF PERITONEAL CATHETER CUFF SHAVING TO ERADICATE INFECTION

From the Departments of Medicine and Surgery, University orPittsburgh, Pittsburgh, PA. Presented at the Seventh Annual CAPD Conference, Kansas City, Missouri, February,1987.

Often the catheter is lost when exitsite infections fail to resolve with antibiotic therapy. Excision of the external cuff has been proposed as an alternative to catheter removal. Prospectively we recorded the results of 22 cuff-shaving procedures and all subsequent CAPD-related infections. After the cuff shaving we encountered six dialysate leaks, which resulted in catheter removal. In 10 other patients, four developed peritonitis, four tunnel infection and two recurrent exit..site infection with the same micro-organism that caused the original exit site infection. Cuff shaving did not decrease the exit-site infection and peritonitis rates. Median catheter survival time after the cuff shaving was 1.5 months (range from 0 to 23 months). In conclusion, cuff shaving often fails to eradicate catheter infection. We need to develop alternative methods for treating and preventing exit-site infections. Exit-site and tunnel infections represent a serious threat to the CAPD patient, because they are important causes of peritonitis and catheter loss (1). Often the catheter is removed to resolve a persistent infection (2, 3). However, this requires temporary hemodialysis and a disruption of the patient's life style.

KEY WORDS: Peritonitis; Exit-site infection; Cuff showing; Periponeal Catheter.

Copyright © 1987 by Multimed Inc.