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Related Experiment Video

Updated: Jun 22, 2026

Povidone Iodine Rectal Preparation at Time of Prostate Needle Biopsy is a Simple and Reproducible Means to Reduce Risk of Procedural Infection

Povidone Iodine Rectal Preparation at Time of Prostate Needle Biopsy is a Simple and Reproducible Means to Reduce Risk of Procedural Infection

Published on: September 21, 2015

Antibiotic prophylaxis: is it needed for dialysis access procedures?

Loay Salman¹, Arif Asif

¹Section of Interventional Nephrology, University of Miami Miller School of Medicine, 1600 NW 10th Avenue, Miami, FL 33136, USA.

Seminars in Dialysis

|July 4, 2009

Summary

Antibiotic prophylaxis for dialysis access procedures is generally not needed, with very low infection rates observed. Exceptions include peritoneal dialysis (PD) catheters and accidentally extruded tunneled hemodialysis catheters (TDC).

Related Experiment Videos

Last Updated: Jun 22, 2026

Povidone Iodine Rectal Preparation at Time of Prostate Needle Biopsy is a Simple and Reproducible Means to Reduce Risk of Procedural Infection

Povidone Iodine Rectal Preparation at Time of Prostate Needle Biopsy is a Simple and Reproducible Means to Reduce Risk of Procedural Infection

Published on: September 21, 2015

Area of Science:

Nephrology
Infectious Diseases
Interventional Radiology

Background:

Antibiotic prophylaxis is used to prevent infections during invasive procedures.
However, its routine use can lead to antibiotic resistance, allergic reactions, and increased healthcare costs.
The necessity of antibiotic prophylaxis for dialysis access interventions requires further investigation.

Purpose of the Study:

To determine the incidence of clinical infection following minimally invasive interventions for hemodialysis (HD) and peritoneal dialysis (PD) access.
To evaluate the necessity of routine antibiotic prophylaxis for these procedures.

Main Methods:

A retrospective analysis of 3162 percutaneous interventions for HD and PD access.
Infection was defined as fever/chills within 72 hours post-procedure.
Antibiotic prophylaxis was administered only for tunneled hemodialysis catheter (TDC) insertion for extruded catheters and for PD catheter placement.

Main Results:

Overall infection rates were very low: 0.04% post-angioplasty and 0.3% post-TDC insertion.
Two patients required hospitalization due to infection.
Antibiotic prophylaxis was given to only two specific groups: PD catheter insertions and extruded TDC insertions.

Conclusions:

Percutaneous dialysis access procedures have a generally low incidence of infection.
Routine antibiotic prophylaxis may not be warranted for all dialysis access procedures.
Antibiotic prophylaxis should be considered for PD catheter insertions and accidental TDC insertions.