In addition to having a high risk of infection, haemodialysis patients may not display the same signs of severe infections as other patients. In particular sepsis guidelines need adapting for this particular group who may not display classic signs such as marked pyrexia. The baseline temperature of dialysis patients may be lower than the general population and tempered on dialysis because of the temperature of dialysate.
Dialysis nurses in satellite units have only a few basic observations to support and diagnosed severe infection, but need to use their skills to ensure prompt management is instituted. If there are any concerns that the patient is not as well as they should be then should be sought.