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Device Problems
Contamination (1120); Improper or Incorrect Procedure or Method (2017)
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Patient Problems
Abdominal Pain (1685); Purulent Discharge (1812); Peritonitis (2252)
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Event Date 07/06/2014 |
Event Type
Injury
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Event Description
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This is a report of a patient who experienced a breach in aseptic technique resulting in peritonitis coincident with continuous ambulatory peritoneal dialysis (capd) therapy.The peritonitis was manifested by cloudy effluent and abdominal pain.The breach in aseptic technique was further described as non-compliance.On the same day, the patient was hospitalized for the event of peritonitis.The patient received unknown treatment for peritonitis.Nine days later, the patient¿s catheter was removed due to lack of response to treatment.Dianeal therapies were discontinued, and hemodialysis therapy was initiated.The patient was retrained on aseptic technique.At the time of this report, the patient was hospitalized and not recovered from the event.No additional information is available at this time.
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Manufacturer Narrative
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(b)(4).The cause of this peritonitis was use error reported to be due to a break in aseptic technique. per baxter labeling, users are instructed to use aseptic technique when performing peritoneal dialysis therapy. a formal review of the label for the product family will be conducted.Should additional relevant information become available, a supplemental report will be submitted.
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Search Alerts/Recalls
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