RECURRENT PERITONEAL CATHETER EXIT-SITE INFECTIONS .1.

M.B. is a 35-year-old female with end-stage renal disease (ESRD) due t o polycystic kidney disease who has been on continuous ambulatory peri toneal dialysis (CAPD) for three years. She has had two episodes of pe ritonitis in the CAPD treatment period, but more recently has develope d an intractable exit-site infection characterized by crusting and sca ling of the exit site with occasional purulent drainage. This has been treated with topical povidone iodine, which resulted in desquamation of the skin surrounding the exit site with an increase in drainage. Th e patient is grossly obese and reports that the catheter has not been tethered to the skin and she has noticed that the exit site sometimes becomes moist.