Prevention of Infection of the Vascular Access - AV-fistulae

Guideline Organization

Recommendation (Evidence Level)

Evidence

Comments

CARI-Australia

- Use of prophylactic antibiotics prior to creation of native fistula might be considered in high risk patients (MRSA carriers, diabetes)

Guidelines 13:  Prevention and management of infections in synthetic grafts

CSN-Canada

EBPG-Europe
November 2002

- Access should be a native fistula whenever possible (Level B)
VI.3.2.
- Clean technique before cannulation fistula (Level C)

Guidelines VI.3 Prevention of infection:  management of the vascular access

KDOQI-US
January 2001

- Clean technique for needle cannulation (Evidence)
- Also wear gloves

Guideline 14:  Skin preparation technique for permanent AV access

For details table III-8 and III-9

UK-Renal Association

Haemodialysis
2007

Vascular Access