Vancomycin pharmacokinetics in continuous ambulatory peritoneal dialysis patients with peritonitis.

Abstract:

:Peritonitis has proven to be the major deterrent to the further growth of continuous ambulatory peritoneal dialysis (CAPD) as a treatment strategy for end-stage renal disease. The correct treatment of peritonitis remains unsettled as evidenced by the presence of advocates for oral, intravenous or intraperitoneal antibiotic administration. This study examines the pharmacokinetic parameters of intravenous vancomycin when employed in the therapy of peritonitis. One gram of intravenous vancomycin was administered during 7 episodes of peritonitis in 5 patients. Plasma and end-of-dwell dialysate levels were maintained above the minimum inhibitory concentration for Staphylococcus aureus and S. epidermidis for 7 days following this single dose of vancomycin. These data establish the existence of sustained intraperitoneal entry of intravenous vancomycin during peritonitis and raise for speculation its use as the sole therapy in most episodes of gram-positive peritonitis.

journal_name

Nephron

journal_title

Nephron

authors

Harford AM,Sica DA,Tartaglione T,Polk RE,Dalton HP,Poynor W

doi

10.1159/000183833

subject

Has Abstract

pub_date

1986-01-01 00:00:00

pages

217-22

issue

3

eissn

1660-8151

issn

2235-3186

journal_volume

43

pub_type

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