PERITONITIS PREVENTION

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PERITONITIS PREVENTION

• Baxter

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Germ Warfare!!!
1.2 Continuing Education Units
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YOU are thefirstlineof defense in
preventing infections!!
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What is a GERM?

• Germ,
• 1. any microorganism, especially one that causes
  disease.
• Excerpted from Mosby's Medical Encyclopedia (c)
  1997

Mosby's Medical Encyclopedia (c) 1997
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3 Areas where germs are more likely to enter the
peritoneum

• The end of your transfer set
• Around catheter exit site
• The connection between the tubing and the bag of
  dialysate

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What is Aseptic Technique?

• aseptic technique,
• 1. any health-care procedure in which added
  precautions are used to prevent contamination of
  a person, object, or area.

Mosby's Medical Encyclopedia (c) 1997
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What is Infection?

• infection,
• 1. the invasion of the body by germs that
  reproduce and multiply, causing disease by local
  cell injury, release of poisons, or germ-antibody
  reaction in the cells.
• 2. a disease caused by the invasion of the body
  by germs.

Mosby's Medical Encyclopedia (c) 1997
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Germs live on skin, especially
between fingers and under nails
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You wont be able to see these germs
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Good handwashing can prevent infections
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The Problem with One Germ

• is that it becomes A LOT of germs!!

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• In 15 minutes 1 germ divides into 2
• In 30 minutes 2 germs divide into 4
• In 45 minutes 4 germs divide into 8
• In 60 minutes 8 germs divide into 16
• In 75 minutes 16 germs divide into 32
• In 90 minutes 32 germs divide into 64
• In 105 minutes 64 germs divide into 128
• In 120 minutes 128 germs divide into 256
• In 135 minutes 256 germs divide into 512
• In 150 minutes 512 germs divide into 1024
• In 165 minutes 1024 germs divide into 2048
• In 180 minutes 2048 germs divide into 4096
• In 195 minutes 4096 germs divide into 8192
• In 210 minutes 8192 germs divide into 16384
• In 225 minutes 16384 germs divide into 32768
• In 240 minutes 32768 germs divide into 65536
• In 255 minutes 65536 germs divide into 131072
• In 270 minutes 131072 germs divide into 262144
• In 285 minutes 262144 germs divide into 524288

• A
• single germ
• can turn
• into over
• a million
• in just
• 5 hours!!

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Wash your hands before every exchange and before
touching your catheter or supplies
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Good handwashing takes one to two minutes each
time
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Anti-microbial soap, water and a lot of friction
Anti-microbial soap should be liquid
in a pump dispenser
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Dry hands completely with a paper towel after
washing them
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Do NOT touch anythingafter you washand
rinseyourhands
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DoNOTcontaminateyour dialysis equipment
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Masks are a barrier between airborne germs and
your connections
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SO, WEAR MASKS!!
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To prevent infection, it is important to

• Do your exchanges exactly as youre taught every
  time. Be careful not to sneeze on sterile
  supplies or touch sterile parts.
• Keep yourself clean
• Do your exchanges in a clean and quiet area
• Avoid constipation

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Dentist visitsorGI Procedures

• Notify your Nephrologist and PD Nurse if you are
  scheduled to see the Dentist, Dental Hygienist,
  or a Gastro-enterologist

Keane p.567
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Signs and Symptoms of Peritonitis
Infection

• Cloudy fluid
• Fever
• Abdominal pain
• Fibrin

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Signs and Symptoms of Catheter
Infection

• Fever
• Redness or pain at exit site or along tunnel
• Drainage of pus from around the catheter
• Abdominal pain, nausea and vomiting
• Extrusion of catheter cuff

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Peritoneal Catheters are most commonly
infected by

• skin
• hands
• cough/sneeze

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Keep your exit site clean and healthy
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Catheters must be immobilized
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ACTIVITIES HARMFUL TO THE EXIT SITE
Avoid the following
Tension Tugging
Scratching
Irritation from clothing
Dirt
Submersion in water
Crust
Non-prescribed ointment/ cream
Powder
Alcohol
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Thanks

• Baxter Ind. Pvt. Ltd