[Carolyn.Chenoweth@FMC-ASIA.COM Subject: Re: skin prep for haemodyalisis – question In-Reply-To:]

Hi Lindy,

See below for haemodialysis access cleansing
that we recommend for patients in our dialysis clinics across Australia
and Asia Pacific.

1. Educate patients to wash their fistula
with normal liquid hand soap (we do not use antimicrobial hand soap) at
dedicated clinical hand basins (no liquids e.g. dialysate emptied into
these sinks) on arrival.

If patients have mobility issues and
can’t access the clinical hand basins we offer alcohol based hand rubs
to clean their hands and fistula.

2. We recommend Chlorhexidine (0.5%
to 2%) combined with alcohol, swabs for all skin cleansing prior to cannulation.

2% chlorhexidine can cause skin irritation
while rarely have issues with 0.5% or 1%chlorhexidine and alcohol.

If chlorhexidine can’t be tolerated
at all we either use povidine iodine or plain alcohol swabs.

The very rare patients who are highly
sensitive to everything we just ensure very good hand washing and washing
fistula with liquid hand soap.

With best regards
Carolyn Chenoweth
Quality & Infection Prevention and Control Manager, Australia
Asia Pacific Quality & IPC SME. CICP

Fresenius Medical Care Australia Pty Ltd
Payneham Dialysis Clinic,
2 Portrush Road
PAYNEHAM 5070
Australia
T: +61 (0) 8 8165 4313
M: +61 (0) 407 810 800
http://www.fmc-ag.com

From:      
 "EXTERN ACIPC
Infexion Connexion" <AICALIST@AICALIST.ORG.AU>

To:      
 AICALIST@AICALIST.ORG.AU

Date:      
 09/12/2016 07:59 AM

Subject:    
   skin prep for
haemodyalisis – question

---

Hello

 

We have a pt with sensitivity to povidine
/iodine and CHG who has a fistula & is having regular haemodialysis
.

 

Other than cleaning her skin with sterile
normal saline prior to cannulating them for their dialysis  is there
any  other skin antisepsis that could be used.

 

I have looked at referenced from CDC and
APIC but there is nothing  useful re any other skin antisepsis just
wondering if anyone out there was using anything else in these pts  with
success or is sterile normal saline the only best option  to stick
with ?

 

Many thanks

 

Kind regards

 

Lindy

 

Lindy Ryan

Infection prevention & Control Clinical Nurse Consultant (CNC) | Coffs
Harbour Health Campus

Pacific Hwy Coffs Harbour
NSW 2450
Tel (02) 6656 7770 | lindy.ryan@ncahs.health.nsw.gov.au
http://www.health.nsw.gov.au




 


Wise and humane management of the patient is the best safeguard against
infection

(Florence Nightingale Circa
 1860)

 

 

 

---

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