Efficacy and safety of teicoplanin in Gram-positive peritonitis in patients on peritoneal dialysis
| Autor: | J. M. T. Hamilton-Miller, R. Baillod, L. O. Neville, W. Brumfitt |
|---|---|
| Rok vydání: | 1988 |
| Předmět: |
Microbiology (medical)
medicine.medical_specialty medicine.medical_treatment Peritonitis Gram-Positive Bacteria Dialysis tubing Peritoneal dialysis Peritoneal Dialysis Continuous Ambulatory Humans Medicine Pharmacology (medical) Dialysis Pharmacology business.industry Teicoplanin Continuous ambulatory peritoneal dialysis Glycopeptides Bacterial Infections medicine.disease Anti-Bacterial Agents Surgery Infectious Diseases Otitis Hemodialysis medicine.symptom business Peritoneal Dialysis medicine.drug |
| Zdroj: | Journal of Antimicrobial Chemotherapy. 21:123-131 |
| ISSN: | 1460-2091 0305-7453 |
| DOI: | 10.1093/jac/21.suppl_a.123 |
| Popis: | Twelve cases of peritonitis caused by Gram-positive bacteria in 11 dialysis patients were treated with teicoplanin. Treatment, which was continued for three weeks, consisted of the addition of teicoplanin to the dialysis fluid. Six patients who were febrile on admission were also given a single intravenous dose of 400 mg teicoplanin. For patients on continuous ambulatory peritoneal dialysis 20 mg teicoplanin per litre was added to each dialysis bag during the first week of treatment, to alternate bags during the second week, and only to the overnight dwell bag in the third week. For patients on intermittent peritoneal dialysis, 20 mg/l teicoplanin was added at each dialysis session. Resolution of peritonitis occurred in all patients within one to five days (mean 2.2); nine were discharged within this period and the patients continued to treat themselves at home. The other two patients were kept in hospital for reasons unconnected with the peritonitis. Nine patients have remained well at follow-up 2-13 months (mean 6.3) later. Two patients, both of whom had Staphylococcus aureus peritonitis, relapsed three months after the end of treatment. Mean serum teicoplanin concentrations were less than 10 mg/l, except in one patient who was re-treated when he relapsed. No adverse effects were recorded; one patient who developed a conductive hearing loss was found to have otitis media and obstruction due to wax. We conclude that teicoplanin is safe and effective in treating peritonitis in patients on peritoneal dialysis. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|