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Nephrol Dial Transplant (1995) 10: 2325-2327
© 1995 European Renal Association-European Dialysis and Transplant Association

brief-report

Cuff-shaving procedure. A rescue treatment for exit-site infection unresponsive to medical therapy

A. Scalamogna, A. de Vecchi, M. Maccario, C. Castelnovo and C. Ponticelli

Division of Nephrology and Dialysis Ospedale Maggiore, IRCCS, Milan, Italy

Correspondence and offprint requests to: Correspondence and offprint requests to:Antonio Scalamogna. Divisione di Nefrologia e Dialisi, Ospedale Maggiore Policlinico, Via Commenda, 15, 20122 Milano. Italy

We performed 41 cuff-shaving procedures in 38 patients on continuous ambulatory peritoneal dialysis (CAPD) with exit-site infection unresponsive to medical treatment. Cuff shaving was performed on three patients with two catheters each. This procedure was effective in eliminating 50% of S. aureus exit-site infection and all S. epidermidis exit-site infection, but was ineffective in Gram-negative exit-site infection. After cuff-shaving procedure, 20 catheters (49%) were removed; 11 for persistent tunnel infection and nine because of development of secondary peritonitis. The probability of catheter survival at 1 year was 50% and remained stable thereafter. Cuff-shaving procedure may be a valuable mode of therapy for treating patients with S. aureus and/or S. epidermidis exit-site infection unresponsive to medical treatment.

Keywords: CAPD; cuff shaving; exit-site infection


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