Although, decreasing in incidence with the disconnection systems, the first complication is still
peritonitis in patients with
chronic renal failure and the second is
infection of Tenckhoff
catheter exit-site. All efforts made to diminish the frequency of exit-site
infection lower the possibility of
peritonitis. The pediatric population is well-known to have a major risk of infectious complications, and making easy and safe the care of the exit-site will prevent the
peritonitis that follows. The aim of the study was to evaluate the efficacy of the
Amuchina 10%
solution vs. pH neutral
soap in children with
chronic renal failure, on preventing exit-site
infection. There were 60 patients who were assigned randomly to one of two groups. One group used
Amuchina 10%
solution for the daily cleaning of the exit-site, and the other used pH neutral
soap, with 14 months of follow-up. Before the study they have to be free of
infection for at least 30 days. All were taught by the same nurse how to clean their exit-site. Groups were almost identical in years, sex, and time on dialysis. We had nine
infections in the
soap group and none in the
Amuchina 10%
solution group, with an OR: 17 (p = 0.004). From these nine
infections, the bacteria isolated were: 4 (13%) were caused by Pseudomona aeruginosa, 1 (3.3%) by Staphylococcus aureus,
coagulase-positive staphylococci in 2 (6.6%) and Serratia marcensens in 1 (3.3%). In conclusion,
Amuchina 10%
solution is effective in preventing
infection on the exit-site, without any secondary topical reaction.