Rivetti M, Colagiacomo R, Turco L, Quadri T, Selimunte S, Sabbatini E, Anselmi M, Cabas L, Cambursano M, Zucca F, Bernocchi D, Cazzetta M, Abbiati C, Menta B, Crivelli D, Modica S, Bartolaso A, Trecco I, Chiappini P, Conti R, Flecchia M, Galantino A, Scuffet L, Paris V
Riv Inferm. 1996 Apr-Jun;15(2):67-72.
The incidence of exit-site infections among peritoneal home-dialysis patients was quantified following for 1 year all home dialysis patients of 23 dialysis centres. The exit site conditions were observed and classified according to Twardowsky. When an infection occurred data on its treatment were collected. 393 patients were observed. The infection occurred in 40 patients (10.1%). 82.2% of patients wear a Tenckoff catheter, 3% do not protect the exit site with any kind of dressing. The strategies adopted by different centres vary for the choice of antiseptics, the suggested frequency of changes dressing and the routine use of nasal swabs. Due to the limited number of patients with infection no association was found between tunnel direction or frequency of dressing changes and infections occurrence. Discussion on controversial aspects and the definition of common guidelines for instance for frequency of dressing changes, use of antiseptics is warranted.
对23个透析中心的所有家庭透析患者进行了为期1年的随访，以量化腹膜家庭透析患者出口部位感染的发生率。按照Twardowsky的方法观察并分类出口部位情况。当发生感染时，收集其治疗数据。共观察了393例患者。40例患者发生感染（10.1%）。82.2%的患者使用Tenckoff导管，3%的患者未用任何敷料保护出口部位。不同中心采用的策略在防腐剂的选择、建议的换药频率以及鼻拭子的常规使用方面存在差异。由于感染患者数量有限，未发现隧道方向或换药频率与感染发生之间存在关联。有必要对一些有争议的方面进行讨论，并制定通用指南，如换药频率、防腐剂的使用等。
