Prevention of Infection of the Vascular Access - AV-grafts

Guideline Organization

Recommendation (Evidence Level)

Evidence

Comments

CARI-Australia
2000

a) Pre-treatment with appropriate antibiotic prior to creation of graft according to recent local microbiologic advice and experience
b) Use of prophylactic antibiotics for native fistula to be considered in high risk (diabetics, MRSA-carriers) (Level A)

Dialysis Guidelines. Vascular access
13. Prevention and management of infections in synthetic grafts

CSN-Canada

EBPG-Europe
November 2002

- Access should be native fistula whenever possible (Level B)
VI.3.2.
- Aseptic technique for cannulation grafts strongly recommended (Level C)

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

KDOQI-US
January 2001

Clean technique for all needle cannulation (Evidence)

Guideline 14:  Skin preparation technique for permanent AV access

For details, see tables III-8 and III-9

UK-Renal Association