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
Nephronjournal_title
Nephronauthors
Harford AM,Sica DA,Tartaglione T,Polk RE,Dalton HP,Poynor Wdoi
10.1159/000183833subject
Has Abstractpub_date
1986-01-01 00:00:00pages
217-22issue
3eissn
1660-8151issn
2235-3186journal_volume
43pub_type
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