Exit-site care for peritoneal dialysis (PD) patients
The exit site is the place where the PD catheter comes out of your skin.
Daily exit-site care can help avoid catheter infection.
What you need:
• Antibacterial soap
• Clean washcloth
• Clean towel
• Gauze swab or cotton tip
• Recommended antibiotic cream
• Clean gauze dressing
• Clean disposable towel
• Face mask
Before you start:
• Gather supplies
• Wash and dry hands
• Carefully remove old dressing
• Keep catheter and transfer set taped to skin
Notify your healthcare team if your exit site is red, painful, swollen, or draining.
Check your exit site and the area around it. Feel the area around the catheter and check the catheter for cracks, slits, or tiny holes.
• Clean gently around the exit site with a clean washcloth and antibacterial soap
• Start cleaning close to the exit site and move out from the exit site using a circular motion
• Rinse well
• Gently and thoroughly pat the exit site dry with a clean towel or facecloth
Apply cream and secure catheter
• If your center recommends it, apply a small amount of the recommended antibiotic cream around the exit site using a cotton swab
• Apply a clean dressing and tape it securely in place
• Make sure the catheter is securely taped to your skin; apply new tape if needed
Always do exit site care exactly as you have been taught every time. Repeat exit-site care if the exit site becomes wet or dirty.
Other pages you may be interested in!
Managing fluids and diet
It is important to keep fluids in balance when living with chronic kidney disease (CKD). PD will help regulate your fluids, but you also need to care for your body.
Your kidney disease medications should be taken under the guidance of a doctor and nurse. Always take your medications as prescribed.