Hostname: page-component-586b7cd67f-t7fkt Total loading time: 0 Render date: 2024-12-01T02:03:56.713Z Has data issue: false hasContentIssue false
  • English
  • Français

Recommendations for the Care of Automated Peritoneal Dialysis Machines: Can the Risk of Peritonitis Be Reduced?

Published online by Cambridge University Press:  02 January 2015

Ruth L. Berkelman ,
Jeffery D. Band  and
Norman J. Petersen
Ruth L. Berkelman*
Affiliation:
Hospital Infections Program, Center for Infectious Diseases (CID), Centers for Disease Control (CDC), Public Health Service, Department of Health and Human Resources, Atlanta, Georgia William Beaumont Hospital, Royal Oak, Michigan Wayne State University School of Medicine, Detroit, Michigan Division of Hepatitis and Viral Enteritis, CID, CDC, Atlanta, Georgia
Jeffery D. Band
Affiliation:
Hospital Infections Program, Center for Infectious Diseases (CID), Centers for Disease Control (CDC), Public Health Service, Department of Health and Human Resources, Atlanta, Georgia William Beaumont Hospital, Royal Oak, Michigan Wayne State University School of Medicine, Detroit, Michigan Division of Hepatitis and Viral Enteritis, CID, CDC, Atlanta, Georgia
Norman J. Petersen
Affiliation:
Hospital Infections Program, Center for Infectious Diseases (CID), Centers for Disease Control (CDC), Public Health Service, Department of Health and Human Resources, Atlanta, Georgia William Beaumont Hospital, Royal Oak, Michigan Wayne State University School of Medicine, Detroit, Michigan Division of Hepatitis and Viral Enteritis, CID, CDC, Atlanta, Georgia
*
Epidemiology Program Office, Centers for Disease Control, Atlanta, GA 30333
Get access Rights & Permissions [Opens in a new window]

Abstract

Automated peritoneal dialysis systems have helped make intermittent peritoneal dialysis an alternative to hemodialysis for long-term management of patients with end-stage renal disease. However, if not cleaned and maintained properly, these machines provide a reservoir for pathogens. The microbiologic barriers in these machines are not impenetrable, but sterile dialy-sate fluid can be produced if the machines are adequately cleaned and disinfected. Potential shortcomings of the microbiologic barriers are discussed, and guidelines to prevent contamination of the internal parts of a machine are suggested.

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 5 , Issue 2 , February 1984 , pp. 85 - 87
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1984

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Jungers, P, Man, K, Funck-Brentano, JL, Other methods, in Hamburger, J, Crosnier, J, Grunfield, JP (eds): Nephrology. New York, John Wiley & Sons, Inc, 1979, pp 1267–1270.Google Scholar
2.Band, JD, Ward, JI, Fraser, DW, et al: Peritonitis due to a Mycobacterium chelonei-iike organism associated with intermittent chronic peritoneal dialysis. J Infect Dis 1982;145:9–17.CrossRefGoogle ScholarPubMed
3.Berkelman, RL, Godley, J, Weber, JA, et al: Pseudomonas cepacia peritonitis associated with contamination of automatic peritoneal dialysis machines. Ann Intern Med 1982;96:456–458.Google ScholarPubMed
4.Hamory, BH, Pearson, SK, Neviackas, J, Bacterial peritonitis from automated peritoneal dialysis. Abstract presented at the American Society for Microbiology, Atlanta, Georgia, 1982.Google Scholar
5.Petersen, NJ, Carson, LA, Favero, JS, Microbiological quality of water in an automatic peritoneal dialysis system. Dialysis and Transplantation 1977;6:38–40.Google Scholar
6.Carson, LA, Favero, MS, Bond, WW, et al: Morphological, biochemical, and growth characteristics of Pseudomonas cepacia from distilled water. Applied Microbiobgy 1973;25:476–483.CrossRefGoogle ScholarPubMed
7.Petersen, NJ, Boyer, KM, Carson, LA, et al: Pyrogenic reactions from inadequate disinfection of a dialysis fluid distribution system. Dialysis and Transplantation 1978;52:57–60.Google Scholar
8.Hayes, PS, McGiboney, DL, Band, JD, et al: Resistance of Mycobacterium chelonei-like organisms to formaldehyde. Appl Environ Microbiol 1982;43:722–724.CrossRefGoogle ScholarPubMed