Access-Related Infections Involving the Buttonhole Technique

Blood Purification
Shigeki TomaKunihiro Hayakawa

Abstract

In this study, we discuss a mechanism of development of access-related Staphylococcus aureus infections in patients on buttonhole (BH) method and logically construct a measure to prevent such infections on the basis of the mechanism. S. aureus can colonize a BH track. Once S. aureus colonizes a BH track, access-related infections may develop when the equilibrium is upset between the factors of host resistance and a level of bacterial growth in a BH track. Thus, the logically constructed measure to prevent access-related infections are as follows: (1) decolonization of S. aureus from a BH track by applying mupirocin ointment to a BH entry site when a patient has been proven to be a carrier of S. aureus in the track, (2) prevention of bacterial invasion of the BH track by a new method to remove a scab completely, and (3) control of bacterial growth in the BH track by disinfecting the site with diluted povidone-iodine solution (0.1% povidone-iodine solution) before access vessel cannulation.

Citations

Sep 30, 2016·Seminars in Dialysis·Pierpaolo Di NicolòAnna Mudoni
Jul 28, 2020·Therapeutic Apheresis and Dialysis : Official Peer-reviewed Journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy·Shigeki TomaKunitoshi Iseki
Mar 11, 2020·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Meghan LymanPriti R Patel

❮ Previous
Next ❯

Related Concepts

Related Feeds

CRISPR & Staphylococcus

CRISPR-Cas system enables the editing of genes to create or correct mutations. Staphylococci are associated with life-threatening infections in hospitals, as well as the community. Here is the latest research on how CRISPR-Cas system can be used for treatment of Staphylococcal infections.

Related Papers

The New England Journal of Medicine
Barry M Farr
The Pediatric Infectious Disease Journal
Sharon F Chen
American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation
Jennifer M MacraeBrenda R Hemmelgarn
The Journal of Hospital Infection
R R MarplesB D Cookson
© 2021 Meta ULC. All rights reserved