Efectividad clínica en el cuidado del orificio de salida del catéter peritoneal

Abstract

There is a great variety of procedures and methods followed by the professionals who provide peritoneal catheter exit orifice care. We found that all of them had a sound basis and showed effective results. However, we asked ourselves which of them would be the most suitable to use in our unit.We opted to use the recommendations of scientific lite-rature, including variables such as the specific needs of each patient, according to the environmental conditions of our community and the seasons of the year. The main objective of our study was to assess the validity and effectiveness of the protocol we had established for our patients. We carried out a descriptive and longitudinal epide-miological study lasting 2 years and 8 months. We calculated the incidence rate of catheter exit orifice infections and peritonitis per patient and for each of the years of the study (2008-2009-2010). We assessed the result by comparing them with the normality indices set by the Spanish Nephrology Association, in 2007.We broke down the total of infections according to seasons and calculated the percentage. We diffe-rentiated between infections caused by gram + and gram - bacteria. The results obtained showed that our protocol is valid and suitable for our patients, obtaining an overall perito-nitis incidence rate of 0.72 for every 24 patient-months and an exit orifice infection rate of 0.61 patient-years, both of which are lower than the standard established by the Spanish Nephrology Association (2007).A higher incidence of infections was found in the summer period, specifically 46%.1% chlorhexidine covers gram+ bacteria, gram- bacteria, spores, viruses and fungi but was found to be most effective with gram+ microorganisms.