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For this reason, you must stay healthy and take good care of your catheter or a fistula / graft, in order to enable your dialysis treatment to last for a long time.
Hygiene measures prevent infections and complications and are therefore of great importance in everyday life.
It is also very important to take your medications as prescribed, even when you are feeling well to avoid complications, and to report any side effects to your physician.
The skin is the body's natural barrier against microorganisms. This natural barrier is injured when puncturing an arteriovenous fistula or arteriovenous graft. In patients with catheters (either in peritoneal dialysis or hemodialysis), the skin is injured during insertion and there is also a risk later due to improper handling during connecting/disconnecting. Therefore, great importance is dedicated to hygienic / aseptic working practices in home dialysis training.
Asepsic refers to all measures to reduce the number of infectious microorganisms.
Hand hygiene aims to reduce the number of infectious agents in order to significantly minimize the risk of infection. There are two techniques for hand hygiene: Hand washing (with soap and water) and hand rubbing (with alcohol-based formulation). Perform one of them always before taking any action related to your treatment, especially:
In addition to a storage room for the materials required for peritoneal dialysis (e.g., for PD solutions and consumables) and a dialysis room may be required. A closet-sized space is typically needed for supplies. Your clinical staff will talk with you about how to organize your supply storage area. It should have lockable windows and doors.
Particularly important basic hygiene measures during dialysis are:
You will learn how to carry out the appropriate surface disinfection of the immediate environment of your treatment, including furniture in your dialysis room, in a detailed training session with your dialysis team.
Patients with chronic kidney disease have a higher risk of infections due to their compromised immune system.
Vaccinations can protect you from getting a severe infectious disease by enhancing your body's immune system response by inducing the production of specific antibodies. They are necessary because they help your body find and kill the specific organisms if you encounter the actual disease. Vaccinations are normally completed with just one shot: some require additional shots or repetitions from time to time to produce a sufficient immune response. Vaccinations mean that the risk of people falling ill, and infecting others can be reduced significantly.
Several vaccines are recommended for the general population, with some additional recommendations for patients with chronic kidney disease. Vaccinations for influenza, pneumococcus, hepatitis B and tetanus / diphtheria are especially important.
Your care team will support you in getting your vaccinations and remind you about them if you would like. If possible, please bring your vaccination passport with you when you visit your physician, as you might also receive vaccinations from different physicians.
As with any medical treatment, problems occur related to peritoneal dialysis. However, not everyone may experience complications. We want you to be aware of some of the possible problems related to the peritoneal dialysis treatment that may occur so that you know how you can understand them better. During training, your clinical team will explain in detail what action you have to take if certain problems occur before, during, or after your PD treatment.
If you have a dialysis catheter implanted, ask yourself daily:
Not everyone will experience complications. Be aware of some possible problems related to the HD treatment that may occur and know how to potentially manage them.
As the most important member of your health-care team, you play the key role when it comes to preventing or correcting problems that can lead to long-term and even life-threatening complications.
You can help prevent complications by:
There are three kinds of vascular access for hemodialysis: