exit pad ag Tag

The access route to the peritoneum continues to be a significant problem in the management and survival of peritoneal dialysis. Exit-site infections are serious complications during the course of peritoneal dialysis. In addition to causing a local logistic process, these infections can spread and cause peritonitis. A healthy exit site is dry, without traces of blood or pus and shows no redness, swelling or crusts. There is no universally accepted definition of exit-site infection. This, together with the tendency for the infection to become chronic, makes an epidemiological assessment and comparison of the various preventive approaches very difficult. However, assuming that the ISPD 2005...

In Italy, 15% of patients undergoing haemodialysis use a long-term central venous catheter as the vascular access, which can lead to a risk of local and systemic infections. Over the last few decades, the spread of multi-ethnic populations throughout Europe has forced health professionals to pay greater attention to the recognition of dermatological diseases that have clinical aspects different from those of Caucasian skin that we are normally used to. There is a wide variety of phototypes in the various populations of the planet, which depends on the amount and type of melanin they contain. The anatomical, structural and physiological differences between light...

When looking for sources of inspiration for developing a CVC management protocol, we realized that international guidelines often encourage the use of chlorhexidine for skin antisepsis. These guidelines are not always clear regarding its use, its concentration, the type of solution, whether aqueous or alcoholic etc. In addition, any interaction and the safety of this substance with the materials that make up the CVC are not taken into account. These unanswered questions prompted us to verify the efficacy of alternative products to Chlorhexidine in alcohol, and their tolerability by the materials in order to create an ad hoc protocol for our operational...

Peritoneal catheter exit-site infections are still frequent complications for patients doing peritoneal dialysis. Not only are they risk factors for the development of tunnel infections, but also peritonitis due to the infection developing in the peritoneal cavity. Advances made over the past two decades in the prevention and treatment of peritonitis and technical improvements in materials have significantly reduced the incidence of these infections. For several years, an advanced medication, EXIT-PAD Ag by Emodial, has been available, designed for the exit-sites of peritoneal dialysis catheters and CVCs for haemodialysis. EXIT-PAD Ag is a dressing consisting of a mesh with the controlled release of silver...