PERITONITIS PREVENTIONPERITONITIS PREVENTION

Baxter

Germ Warfare!!!Germ Warfare!!!

1.2 Continuing Education Units

YOU YOU are theare thefirstfirstlinelineof of defense in defense in

preventing infections!!

What is a What is a GERMGERM??Germ, 1. any microorganism,

especially one that causes disease.

Excerpted from Mosby's Medical Encyclopedia (c) 1997

Mosby's Medical Encyclopedia (c) 1997

The end of your transfer set Around catheter exit site The connection between the tubing

and the bag of dialysate

3 Areas where germs are more likely to enter the peritoneum

What is What is Aseptic Aseptic TechniqueTechnique??

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

What is What is InfectionInfection??

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

Germs live on skin, especially

between fingers and under nails

You won’t be able to see

these germs

Good Good handwashing handwashing cancan prevent prevent infectionsinfections

The Problem with The Problem with OneOne GermGerm

is that it becomes A LOT of germs!!

Asingle germ

can turninto overa millionin just

5 hours!!

In 15 minutes 1 germ divides into 2In 30 minutes 2 germs divide into 4In 45 minutes 4 germs divide into 8

In 60 minutes 8 germs divide into 16In 75 minutes 16 germs divide into 32In 90 minutes 32 germs divide into 64

In 105 minutes 64 germs divide into 128In 120 minutes 128 germs divide into 256In 135 minutes 256 germs divide into 512

In 150 minutes 512 germs divide into 1024In 165 minutes 1024 germs divide into 2048In 180 minutes 2048 germs divide into 4096In 195 minutes 4096 germs divide into 8192

In 210 minutes 8192 germs divide into 16384In 225 minutes 16384 germs divide into 32768In 240 minutes 32768 germs divide into 65536

In 255 minutes 65536 germs divide into 131072In 270 minutes 131072 germs divide into 262144In 285 minutes 262144 germs divide into 524288

In 300 minutes 524288 germs divide into 1048576!!

Wash your Wash your hands before hands before every every exchange and exchange and before before touching your touching your catheter or catheter or suppliessupplies

Good Good handwashing handwashing takes one to takes one to two minutes two minutes each time each time

Anti-microbial soap, Anti-microbial soap, water and a lot of water and a lot of

frictionfriction

Anti-microbial soap should be liquid in a pump dispenser

Dry hands completely Dry hands completely with a paper towel after with a paper towel after washing themwashing them

Do NOT touch Do NOT touch anythinganythingafter you washafter you wash

and rinseand rinseyouryour

hands hands

DoNOT

contaminateyour

dialysis equipment

Masks are a Masks are a barrier barrier between airborne germs between airborne germs and your connections and your connections

SO, WEAR MASKS!!

To prevent infection, it is To prevent infection, it is important to:important to:

Do your exchanges exactly as you’re 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

Dentist visitsDentist visitsororGI ProceduresGI Procedures

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

Keane p.567

Signs and SymptomsSigns and Symptoms of Peritonitis Infection of Peritonitis Infection

Cloudy fluidFeverAbdominal painFibrin

Signs and SymptomsSigns and Symptoms of Catheter Infection 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

Peritoneal CathetersPeritoneal Catheters are are most commonly most commonly infected byinfected by

skin hands cough/sneeze

Keep your exit site Keep your exit site clean and clean and healthyhealthy

Catheters must be Catheters must be immobilized immobilized

ACTIVITIES HARMFUL TO THE EXIT SITEACTIVITIES HARMFUL TO THE EXIT SITE

Tension & Tugging Scratching Irritation from clothing

Dirt Submersion in water Crust

PowderNon-prescribedointment/ cream Alcohol

Avoid the following:

ThanksThanks

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