Reduction or discontinuation of antibiotic prophylaxis in vascular access surgery, tendon sheath incision and PD catheter placement

The Journal of Vascular Access
Kojiro NagaiJun Minakuchi

Abstract

Immune response in dialysis patients is suppressed and these patients are susceptible to bacterial infections. Therefore, minimal use of antibiotics in dialysis patients is recommended to avoid generating drug-resistant bacteria. However, minor surgeries including vascular access surgery, tendon sheath incision and peritoneal dialysis (PD) catheter placement are inevitable in dialysis patients and evidence-based recommendations on the judicious use of antibiotics are not currently available for these procedures. In this study, the optimal antibiotic prophylaxis for minor surgeries was evaluated. This is a retrospective study. In dialysis patients at Kawashima Hospital, a three-step reduction of antibiotic use was performed in 651 cases of arteriovenous fistula (AVF) and tendon sheath incision surgeries from July 2009 through October 2012. Moreover, general surgical guidelines-recommended dose of preoperative antibiotics only were used in 532 cases of arteriovenous graft (AVG) and PD catheter placement from January 2010 through October 2012. The surgical site was observed for 2 weeks after the surgery. In only one case of AVF surgery, redness of the skin around the stitches was noticed 5 days after the surgery, which was healed ...Continue Reading

References

Nov 23, 2006·Archives of Surgery·Silvia Nunes Szente FonsecaAnna S Levin
Apr 17, 2008·Annals of Internal Medicine·Matthew T JamesUNKNOWN Alberta Kidney Disease Network
Jul 4, 2009·Seminars in Dialysis·Loay Salman, Arif Asif
Aug 12, 2009·The Journal of Vascular Access·Jacob A Akoh
Dec 24, 2010·Kidney International·Charmaine E Lok, Michele H Mokrzycki
Apr 29, 2011·American Journal of Infection Control·Naomi P O'GradyUNKNOWN Healthcare Infection Control Practices Advisory Committee
Dec 26, 2012·Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology·Peter B LockhartJohn Carew
Mar 7, 2013·Surgical Infections·Dale W BratzlerUNKNOWN Society for Healthcare Epidemiology of America (SHEA)
Jul 19, 2013·Seminars in Dialysis·Bernard C Camins
Jul 19, 2013·Seminars in Dialysis·S Daisy Kosa, Charmaine E Lok
Feb 6, 2014·Blood Purification·Michiel G H BetjesNicolle H R Litjens

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