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RE: [IPp] site infections



Maybe it's getting contaminated when you change the site?  I would give
her a bath, and cleanse the area for the site well - IV prep, whatever.
Make sure you don't breathe on the site before insertion!!!  My oldest
daughter blew on Emma's spot to dry the IV prep, and that's the time she
got an infection.  The mouth has more germs than any other part of the
body.  

I don't know if this will help, but I have found that the more sterile
our technique in putting the set in, the less red her site gets.  Just a
thought.

Catherine, mom to:
Madeline - 10  Austin  - 8
Emma  - 5  (dx 10/9/02 - pumping Cozmo)
Abigail - 4  Genevieve & Gracie - 2
 


-----Original Message-----
From: email @ redacted
[mailto:email @ redacted] On Behalf Of Octavia
Kincaid
Sent: Thursday, January 06, 2005 6:42 PM
To: email @ redacted
Subject: [IPp] site infections


Hello - My daughter, Ailsa (18 months old) seems to be
getting recurrent infections at the infusion sites. 
She may have a new infection, making the total 3 in 3
months.  The first 2 required 10 days of antibiotics
to clear.

We have been on the Animas 1200 since 9/30/04.  We
started off with the Comfort kit, got the first
infection, switched to the Tender-Mini, which we still
use.  As far as I can tell, the trigger for her
infections seems to be friction - specifically,
elastic from her diapers rubbing on the site.  We
always use a tegaderm (occlusive dressing) to cover
the site and do not take it off except to change the
site.  We have 3 different types of diapers to try to
tailor the cut of the elastic to the site location,
but this time a 30 minute session in the pool for swim
class and subsequent rubbing from the swimsuit leg
elastic may be the culprit.  

Does anyone have any brilliant ideas for dealing with
pumps in kids with diapers?  The pump has been
otherwise amazing and her hypoglycemic episodes are so infrequent now
that we're off shots.  I really don't want to give up the pump, but the
infections are so frequent, I'm scared of the outcome of all  of this.

Thanks - Octavia, mom of Ailsa, dx'd at 11 months
6/04, pumping since 9/04


		
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