Design and proof-of-concept evaluation of a touchless connector system for preventing peritoneal dialysis-associated peritonitis.

Infections Nephrology Peritoneal Diseases

Journal

BMJ innovations
ISSN: 2055-642X
Titre abrégé: BMJ Innov
Pays: England
ID NLM: 101659377

Informations de publication

Date de publication:
Apr 2022
Historique:
entrez: 9 6 2022
pubmed: 10 6 2022
medline: 10 6 2022
Statut: ppublish

Résumé

In this paper, we describe the design of a touchless peritoneal dialysis connector system and how we evaluated its potential for preventing peritoneal dialysis-associated peritonitis, in comparison to the standard of care. The unique feature of this system is an enclosure within which patients can connect and disconnect for therapy, protecting their peritoneal catheters from touch or aerosols. We simulated a worst-case contamination scenario by spraying 40mL of a standardized inoculum [ 1×10 No contamination was observed in test samples from the touchless connector system, compared to 65%, 75% and 70% incidence contamination for the standard of care on Luria Bertani agar, Mannitol Salts Agar and Pseudomonas isolation agar respectively. Results show that the touchless connector system can prevent fluid path contamination even in heavy bacterial exposures and may help reduce peritoneal dialysis-associated peritonitis risks from inadvertent contamination with further development.

Identifiants

pubmed: 35677314
doi: 10.1136/bmjinnov-2021-000845
pmc: PMC9173658
mid: NIHMS1772654
doi:

Types de publication

Journal Article

Langues

eng

Pagination

98-104

Subventions

Organisme : NIDDK NIH HHS
ID : R41 DK126586
Pays : United States

Déclaration de conflit d'intérêts

Competing Interests IOY, AT and TV invented the touchless connector. TV is an employee of Cerovations LLC, a company that has licensed the connector from the University of Minnesota for commercialization.

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Auteurs

Ibrahim O Yekinni (IO)

Bakken Medical Devices Center, University of Minnesota, Minnesota, USA.

Tom Viker (T)

Cerovations LLC, Minnesota, USA.

Ryan Hunter (R)

Department of Microbiology and Immunology, University of Minnesota Medical School, Minnesota, USA.

Aaron Tucker (A)

Bakken Medical Devices Center, University of Minnesota, Minnesota, USA.

Sarah Elfering (S)

Department of Medicine, University of Minnesota Medical School, Minnesota, USA.

Michelle N Rheault (MN)

Department of Pediatrics, University of Minnesota Medical School, Minnesota, USA.

Arthur Erdman (A)

Bakken Medical Devices Center, University of Minnesota, Minnesota, USA.

Classifications MeSH