Methods on this page:Sterile method
- A catheter is placed in your child’s peritoneal cavity in order to receive peritoneal dialysis treatments.
- This catheter requires special care so that it functions properly and to prevent infection.
- We suggest a procedure that you can use as a guide; discuss with your healthcare team the specific equipment used for your child.
- This care must be given with strict adherence to the aseptic measures taught by your care team, including basic procedures to be performed before starting.
- Up to 6 weeks after catheter insertion OR at any time if the skin is not intact (red, broken, etc.): always perform the method of care in a sterile
- From 6 weeks after catheter insertion (when the insertion site is completely healed): the method can be performed in a non-sterile manner, unless otherwise advised by your healthcare team.
- The catheter insertion site should not change in appearance and the dressing should remain clean and dry at all times.
- Never use alcohol to clean the catheter as this solution can damage it.
- Use your child’s usual bathing/shower time to care for the catheter site.
- Make sure your child is comfortable during the care by using the different positioning techniques and distraction techniques that are offered.
- The skin around the catheter insertion site is cleaned at the time of each dressing change.
- Up to 6 weeks after catheter insertion: change the dressing once a week to promote healing of the site and prevent catheter displacement unless the dressing is soiled (change more often if soiled).
- From 6 weeks after catheter insertion: change the dressing at least three times a week; it is possible to change it every day after bathing/showering.
- Change the dressing more often if soiled. Notify your healthcare team if this is the case.
- Small table, desk top or sideboard with a washable surface: to place materials
- Hand soap
- Clean paper or towel
- Alcohol or disinfectant wipe (eg, Sani-Cloth® Plus): for surfaces
- 4% chlorhexidine soap solution: for hands
- Alcohol-based antiseptic hand gel (eg, Stérigel®)
- Three packets of swabsticks soaked in 2% chlorhexidine gluconate (alcohol-free)
- Adhesive dressing (eg, IV3000, Hypafix®, Mefix®, Tegaderm advanced®, Mepore®)
- Securement device (eg, Grip-Lock), Hypafix® or Diachylon: to secure the catheter
- Plastic bottle (small tube) or syringe of 5 ml sterile saline solution (for crusts)
- 2″ X 2″ or 4″ X 4″ sterile compresses packages
If sterile method:
- Dressing tray
- Sterile gloves
Refer to your healthcare team if the materials used or the sequence of steps taught is different from what is described in the method of care.
Depending on your child’s age and condition, always encourage your child’s autonomy in carrying out the method of care.