Peritonitis treatment algorithm.

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Infectious Complications of PD: Peritonitis and Exit Site / Tunnel Infections Franz Schaefer Pediatric Nephrology Division Center for Pediatric and Adolescent.

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Presentation transcript:

Peritonitis treatment algorithm. Peritonitis treatment algorithm. Patients who are allergic to cefazolin receive vancomycin at the following doses: if <50kg, 1g in 1 exchange, if >50 kg, 2g in 1 exchange, frequency is every 7 days if anuric and every 5 days if non-anuric. Antibiotics may be modified based on PD effluent culture and sensitivities, but antibiotic concentrations are not routinely monitored. Anuric patients started on tobramycin with culture results demonstrating a Gram negative organism continue on tobramycin unless sensitivities show the infection is resistant (i.e., do not switch to ceftazidime). *Actual body weight used for dosing. ¥Elevated PD effluent cell count or >50% neutrophils with or without positive cultures in addition to the above symptoms is diagnostic for PD peritonitis. ¶Antibiotics are administered intraperitoneally once daily and dwell for at least 6 hours. Rachel Whitty et al. CJASN 2017;12:2016-2022 ©2017 by American Society of Nephrology