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Catheter Compatibility

Certain chronic hemodialysis catheters are compatible with certain antiseptic ointments.

CDC Recommendations:

  • Use of alcohol-based chlorhexidine (>0.5%) solution as the first line skin antiseptic for catheter exit site care.
    Alternatives for patients with chlorhexidine intolerance: Povidone-iodine (preferably with alcohol) or 70% alcohol
  • Apply povidone-iodine ointment or bacitracin/gramicidin/polymyxin B ointment during catheter dressing change.
    Alternative: Triple antibiotic ointment (bacitracin/neomycin/polymyxin B)


Recommended Antiseptics & Antimicrobials by Catheter Type

These tables list recommended products to reduce chronic hemodialysis catheter infection.
The catheter models included in this chart were limited to those identified using the Food and Drug Administration Medical Devices Establishment Registration Database  and manufacturer websites.


NOTE TO MANUFACTURERS:

If new information is available, please contact the Centers for Disease Control and Prevention.
 

AngioDynamics

  Hemodialysis Catheter Modelsa Information Available: Location Information:
Polyurethane SchonTM Chronic [PDF - 444 KB] Skin Antiseptics: Alcohol, Iodine-based Solutions

Antimicrobial Ointments: Contact Manufacturer
Instructions For Use (IFU) document, subject heading Site Care
Durathane® DuraFlowTM, EVENMORE® Skin Antiseptics: Alcohol, Iodine-based Solutions

Antimicrobial Ointments: Bacitracin/ Gramicidin/Polymyxin B, Povidone-Iodine Ointment, Bacitracin/Neomycin/Polymyxin B, Bacitracin/Polymyxin B, Bacitracin, Mupirocin
Catheter description and IFU attachment, subject heading Site Care
Durathane® DuraMax®, DuraFlowTM 2 Skin Antiseptics and Ointments: Contact Manufacturer  

Argon Medical Devices

  Hemodialysis Catheter Modelsa Information Available: Location Information:
Polyurethane UltraStream Chronic [PDF - 599 KB] Skin Antiseptics: Alcohol-based Iodine Solutions, Chlorhexidine, Povidone-Iodine, Sodium Hypochlorite

Antimicrobial Ointments: Contact Manufacturer
IFU document, subject heading Site Care

Argon Medical Devices

  Hemodialysis Catheter Modelsa Information Available: Location Information:
Polyurethane NextStepTM Antegrade [PDF - 222 KB],
NextStepTM Retrograde [PDF - 222 KB],
Arrow EdgeTM [PDF - 222 KB],
CannonTM II Plus [PDF - 222 KB]
Skin Antiseptics: Chlorhexidine with Alcohol, Povidone-Iodine with Alcohol, Alcohol, Povidone-Iodine, Sodium Hypochlorite

Antimicrobial Ointments: Povidone-Iodine Ointment, Mupirocin
Compatibility Chart

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Bard Access Systems

  Hemodialysis Catheter Modelsa Information Available: Location Information:
Silicone HickmanTM [PDF - 470 KB] Skin Antiseptics: Povidone-Iodine with Alcohol, Alcohol, Povidone-Iodine

Antimicrobial Ointments: Contact Manufacturer
IFU document, subject heading Precautions, page 7
Silicone RetrOTM [PDF - 2.6 MB] Skin Antiseptics: Iodine Solutions

Antimicrobial Ointments: Contact Manufacturer
IFU document, subject heading Warnings, page 3
Polyurethane EQUISTREAMTM [PDF - 483 KB],
EQUISTREAMTM XK [PDF - 483 KB],
DuetTM [PDF - 1.29 MB],
HemoSplitTM [PDF - 355 KB],
HemoSplitTM XK [PDF - 355 KB],
HemoStarTM [PDF - 387 KB],
HemoStarTM XK [PDF - 387 KB]
Skin Antiseptics: Chlorhexidine with Alcohol, Alcohol, Chlorhexidine, Povidone-Iodine, Sodium Hypochlorite

Antimicrobial Ointments: Povidone-Iodine Ointment, Bacitracin/Polymyxin B, Bacitracin, Mupirocin
IFU document, subject heading Care and Maintenance
Polyurethane Soft-CellTM [PDF - 65 KB] Skin Antiseptics: Alcohol, Chlorhexidine

Antimicrobial Ointments: Povidone-Iodine Ointment, Mupirocin
IFU document, subject heading Warnings

ACook  Medical

  Hemodialysis Catheter Modelsa Information Available: Location Information:
Polyurethane C-DDS Skin Antiseptics and Ointments: Contact Manufacturer  
Silicone C-DDSCY Skin Antiseptics and Ointments: Contact Manufacturer  

Covidien

  Hemodialysis Catheter Modelsa Information Available: Location Information:
Silicone MAHURKARTM Chronic Silicone [PDF - 52 KB] ,
PermCath Chronic Silicone Oval [PDF - 52 KB]
Skin Antiseptics: Chlorhexidine with Alcohol, Alcohol, Chlorhexidine, Povidone-Iodine, Sodium Hypochlorite

Antimicrobial Ointments: Bacitracin/Neomycin/Polymyxin B, Bacitracin
Compatibility Chart
Carbothane® PalindromeTM Symmetric Tip [PDF - 52 KB],
PalindromeTM H [PDF - 52 KB],
PalindromeTM SI [PDF - 52 KB],
PalindromeTM HSI [PDF - 52 KB],
PalindromeTM RT [PDF - 52 KB],
Tandem-CathTM[PDF - 52 KB],
MAHURKARTM Chronic Carbothane [PDF - 52 KB]
Skin Antiseptics: Chlorhexidine with Alcohol, Alcohol, Chlorhexidine, Povidone-Iodine, Sodium Hypochlorite

Antimicrobial Ointments: Bacitracin/Neomycin/Polymyxin B, Bacitracin
Compatibility Chart

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Argon Medical Devices

  Hemodialysis Catheter Modelsa Information Available: Location Information:
Medcomp      
Silicone Hemo-Cath® LT Skin Antiseptics: Alcohol, Chlorhexidine, Povidone-Iodine, Sodium Hypochlorite

Antimicrobial Ointments: Mupirocin
Compatibility Chart, click Download Chart in left column
Polyurethane Split Cath® , Split Stream® , EschelonTM, Bio-Flex® Tesio® , Titan HDTM, Hemo-Flow® Skin Antiseptics: Alcohol, Chlorhexidine, Povidone-Iodine, Sodium Hypochlorite

Antimicrobial Ointments: Mupirocin
Compatibility Chart, click Download Chart in left column

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Merit Medical

  Hemodialysis Catheter Modelsa Information Available: Location Information:
Polyurethane ProGuideTM Skin Antiseptics: Alcohol

Antimicrobial Ointments: Bacitracin/ Gramicidin/Polymyxin B, Povidone-Iodine Ointment, Bacitracin/Neomycin/Polymyxin B, Bacitracin/Polymyxin B, Bacitracin, Mupirocin
Instructions for Use Tab, IFU document, subject heading Securement and Dressing, page 6
Polyurethane Centros® | CentrosFLOTM Skin Antiseptics: Chlorhexidine with Alcohol, Alcohol, Povidone-Iodine, Sodium Hypochlorite

Antimicrobial Ointments: Povidone-Iodine Ointment, Mupirocin
Instructions for Use Tab, IFU document, subject heading Catheter Precautions, page 3

Navilyst

  Hemodialysis Catheter Modelsa Information Available: Location Information:
 Navilyst      
Polyurethane Vaxcel® Plus [PDF - 425 KB] Skin Antiseptics: Alcohol, Povidone-Iodine

Antimicrobial Ointments: Contact Manufacturer
Patient Guide, subject heading How Do I Care for My Vaxcel Plus Catheter, page 4

r4 Vascular

  Hemodialysis Catheter Modelsa Information Available: Location Information:
Polyurethane DuraspanTM[PDF - 1.5 MB] Skin Antiseptics: Chlorhexidine with Alcohol, Alcohol, Povidone-Iodine, Sodium Hypochlorite

Antimicrobial Ointments: Povidone-Iodine Ointment, Bacitracin, Mupirocin
IFU document, subject headings Warnings and Catheter Care

a Chronic hemodialysis catheters limited to those found on the Food and Drug Administration Medical Devices Establishment Registration Database and manufacturer websites.

The names of any commercial products that appear in this chart are for information purposes only, and the use of these names does not represent an endorsement of those products by the Centers for Disease Control and Prevention or any other U.S. government agency.

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