Vascular Access Infection Prevention Measures | References |
Catheter insertion: (Not addressed in KDOQI 2000/2006 guidelines) ・ Avoid the use of femoral veins in adult patients ・ Catheters should be inserted under strict aseptic technique ・ Maximal barrier precautions (use of mask, cap, sterile gown and sterile gloves by the inserter, and large sterile drape to cover the patient) |
[17] [32] [41] [17] [32] [41] - [43] [17] [32] [43]
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Catheter care: ・ Only trained dialysis staff should perform catheter dressing changes and catheter manipulations ・ The catheter exit-site should be examined for proper position and absence of infection by experienced personnel before accessing the bloodstream at each HD session ・ Aseptic technique should be used to prevent contamination of the catheter system ・ Use of a surgical mask for staff and patient for all catheter system connect, disconnect, and dressing procedures ・ Catheter manipulation should be kept at a minimum |
[17] [32] [43] - [45] [17] [32] [41] [44] [45]
[17] [32] [41] [43] [44] [32] [43] [44]
[32] [43] [44] |
Skin preparation technique for permanent AV access: ・ The patient’s access arm should be washed with antimicrobial soap and water prior to skin preparation with antiseptic solution ・ To locate and palpate the needle cannulation sites prior to skin preparation ・ To cleanse the skin by applying antiseptic solution before cannulation (alcohol-based chlorhexidine, or 10% povidone iodine solution and/or 70% alcohol) |
[32] [43] - [45]
[32] [43] - [45] [32] [43] - [45]
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