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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*
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

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
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1984

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References

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