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Author Topic: Partial Cuff Extrusion  (Read 3084 times)
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Posts: 786

« on: July 13, 2009, 10:20:15 PM »

I've recently had problems with my PD catheter exit site. It's been oozing a bit into the dressing, and a culture came back positive for Staph aureus. I've been on Cipro for over a week and it hasn't helped yet; I just got put on rifampin and hopefully that'll do something.

Today at my clinic/doctor visit, they found that I have a "partial cuff extrusion" - part of the first felt cuff of my catheter is visible when you pull back the skin around my exit site a little, and apparently that results in repeated infections. My neph and PD nurse want to let it continue to come out until the first cuff (it's a double cuff) is fully exposed. Then the exit site can reseal itself (I think) and possibly the fully extruded cuff can be removed.

Has anyone else had a partially extruded cuff that was allowed to go on to a fully extruded cuff? I've heard of cuff shaving, but not this.

- Matt - wasabiflux.org
- Dialysis Calculators

3/2007Kidney failure diagnosed5/2010In-center hemodialysis
8/2008Peritoneal catheter placed1/2012Upper arm fistula created
9/2008Peritoneal catheter replaced3/2012Started using fistula
9/2008Began CAPD4/2012Buttonholes created
3/2009Switched to CCPD w/ Newton IQ cycler            4/2012HD catheter removed
7/2009Switched to Liberty cycler            4/2018Transplanted at UCLA!
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