Please note: Until further notice, NexSite HD is no longer in production and no longer available for sale.

Exit Site Management

Conventional Exit Site Management (ESMTM) practices typically consist of hygienic handling of the catheter during dialysis sessions and the labour intensive use of antimicrobial dressings between dialysis sessions.

Marvao Medical’s alternative approach to ESMTM is to provide a catheter that enables the skin to heal into the device where it exits the patient, thus establishing a natural biological seal.  In essence, once healed, there would be “no exit site”. Hence NexSite was developed.

Selected Peer Reviewed Publications – Exit Site Management

1. “HD infection prevention with polysporin ointment”
Journal of American Society of Nephrology; 13, 169-179, (2003)
Charmaine Lok, MD et al

2. “Randomized, controlled trial of topical exit site application of honey (medihoney) vrs Mupirocin for the prevention of catheter related infections in HD patients”
Journal of American Society of Nephrology 16: 1456 – 1462 (2005)
David Johnson et al

3. “Tunneled HD catheter bacteraemia: risk factors for bacteraemia recurrence, infectious complications, and mortality”
Nephrology Dialysis Transplantation (2006) 21: 1024-1031
Michele Mokrzycki et al

4. “A systematic review of antimicrobials for the prevention of HD catheter infections”
Nephrology Dialysis Transplantation (2009) 24(12): 3763-3774
Kannaiyan Rabindranath, et al