Do you recommend daily topical exit site antibiotic use for patients with a peritoneal dialysis catheter that is only currently being accessed for once weekly flushes?  

No. When PD catheters are being accessed only once weekly for flushes, we keep the exit site under a sterile dressing with a chlorhexidine-gluconate-impregnated disc surrounding the exit site. The catheter is accessed only by the PD nurse at the time of flushing, and we do not have the patient perfo...

This depends: if the catheter is new (< 1 week), it should be kept under the original post-op dressing while it heals, to allow for healing of the exit site in a sterile environment. Once the catheter is no longer kept under a surgical dressing, it is potentially at risk for developing an exit si...