From the Research
To care for a percutaneous transhepatic cholangiography (PTC) drain at home, it is essential to follow a strict protocol to prevent infection and ensure proper bile drainage, as highlighted in the study by 1, which emphasizes the importance of external drainage in reducing the chance of biliary infection caused by bacteria.
Key Steps for PTC Drain Care at Home
- Keep the insertion site clean and dry, gently cleaning around the drain daily with mild soap and water, then pat dry.
- Change the dressing daily or more often if it becomes wet or soiled, using sterile gauze and medical tape.
- Monitor the drain output, recording the amount and color daily, and report any significant changes to your healthcare provider.
- Flush the drain as instructed, typically with 10 mL of sterile saline solution once or twice daily to prevent clogging, as recommended by 2 for effective drain care and management in community settings.
- Take prescribed antibiotics as directed to prevent infection, although the study by 3 suggests that antibiotic prophylaxis may not be associated with a decreased incidence of central nervous system infection in patients with external ventricular drains or intra-cranial pressure monitors.
- Avoid submerging the drain site in water, using a waterproof covering when showering.
- Watch for signs of infection such as redness, swelling, increased pain, or fever, and seek medical attention if these occur.
- Avoid strenuous activities or lifting heavy objects that could dislodge the drain.
- Ensure the drain is properly secured to prevent accidental removal.
- Follow up with your healthcare provider as scheduled for drain checks and potential removal.
Importance of Proper Drain Care
Proper care of a PTC drain at home is crucial to prevent complications such as infection, cholangitis, or biliary obstruction, as emphasized by the study by 4, which highlights the importance of evidence-based infection control protocols in reducing the risk of external ventricular drain infections.