CZECH MEDICAL ASSOCIATION J. Ev. PURKYNĚ | |
Journals - Article | |
Česky / Czech version | Vnitřní lékařství, 50, 2004, č. 8, s. 619 - 623 |
The Latest Trends in the Treatment Peritonitis of the Patients on
Peritoneal Dialysis Hájková B., Fixa P. Klinika gerontologická a metabolická Lékařské fakulty UK a FN, Hradec Králové, přednosta prof. MUDr. Zdeněk Zadák, CSc. |
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Summary: Peritonitis is still one of the major complications ambulatory peritoneal dialysis (CAPD). The
initial empiric therapy for peritonitis should be effective against most grampositive organisms as
well as gramnegative organisms. Intraperitoneal administration antibiotics has the advantage of
a high concentration of the antibiotics at the site of infection. The treatment should provide
broad coverage of all organisms, without side-effects or risk for the patient and should not
provoke the emergence of resistant germs. The present guidelines of the ad hoc advisory committee
are of great value in this regard. The ISPD guidelines for treatment of peritonitis recommended
an empirical therapy based on the association of a first-generation cephalosporin with an
aminoglycoside or ceftazidime.
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