Extended Spectrum β-lactamase–producing -related Nosocomial Peritonitis Treated Successfully with Meropenem in a Patient on Peritoneal Dialysis

Peritonitis is a common and potentially serious infection in patients undergoing continuous ambulatory peritoneal dialysis (CAPD). The most common organisms usually associated with CAPD peritonitis are Staphylococcus aureus and Staphylococcus epidermidis. Rarely, aerobic gram negative bacilli have b...

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Main Authors: Seong Kyu Jeong, Yeong Hee Ham, Jin Hyuk Jo, Yeong Sin Sin, Dong Heo, Hark Rim
Format: Article
Language:English
Published: Kosin University College of Medicine 2013-06-01
Series:Kosin Medical Journal
Subjects:
Online Access:http://www.kosinmedj.org/upload/pdf/kmj-28-43.pdf
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author Seong Kyu Jeong
Yeong Hee Ham
Jin Hyuk Jo
Yeong Sin Sin
Dong Heo
Hark Rim
author_facet Seong Kyu Jeong
Yeong Hee Ham
Jin Hyuk Jo
Yeong Sin Sin
Dong Heo
Hark Rim
author_sort Seong Kyu Jeong
collection DOAJ
description Peritonitis is a common and potentially serious infection in patients undergoing continuous ambulatory peritoneal dialysis (CAPD). The most common organisms usually associated with CAPD peritonitis are Staphylococcus aureus and Staphylococcus epidermidis. Rarely, aerobic gram negative bacilli have been the causative agents of CAPD peritonitis. The treatment of CAPD peritonitis requires removal of the peritoneal catheter and treatment with parenteral antibiotics active against the causative pathogen. While hospitalized for CAPD peritonitis, a 55-year-old man on CAPD had nosocomial peritonitis secondary to infection by ESBL–producing E. coli, that was sensitive to imipenem and meropenem. He was treated successfully with a 4-week course of intraperitoneal meropenem therapy without subsequent relapse, loss of peritoneal catheter, ultrafiltration failure, or dialysis inadequacy.
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spelling doaj.art-0256e68b13da43aa9a7b9f04e544ea532022-12-22T03:22:51ZengKosin University College of MedicineKosin Medical Journal2005-95312586-70242013-06-01281434710.7180/kmj.2013.28.1.43127Extended Spectrum β-lactamase–producing -related Nosocomial Peritonitis Treated Successfully with Meropenem in a Patient on Peritoneal DialysisSeong Kyu Jeong0Yeong Hee Ham1Jin Hyuk Jo2Yeong Sin Sin3Dong Heo4Hark Rim5Department of internal medicine, Daedong Hospital, Busan, KoreaDepartment of internal medicine, Daedong Hospital, Busan, KoreaDepartment of internal medicine, Daedong Hospital, Busan, KoreaDepartment of internal medicine, Daedong Hospital, Busan, KoreaDepartment of internal medicine, Daedong Hospital, Busan, KoreaDepartment of nephrology medicine, Kosin University Gospel Hospital, Busan, KoreaPeritonitis is a common and potentially serious infection in patients undergoing continuous ambulatory peritoneal dialysis (CAPD). The most common organisms usually associated with CAPD peritonitis are Staphylococcus aureus and Staphylococcus epidermidis. Rarely, aerobic gram negative bacilli have been the causative agents of CAPD peritonitis. The treatment of CAPD peritonitis requires removal of the peritoneal catheter and treatment with parenteral antibiotics active against the causative pathogen. While hospitalized for CAPD peritonitis, a 55-year-old man on CAPD had nosocomial peritonitis secondary to infection by ESBL–producing E. coli, that was sensitive to imipenem and meropenem. He was treated successfully with a 4-week course of intraperitoneal meropenem therapy without subsequent relapse, loss of peritoneal catheter, ultrafiltration failure, or dialysis inadequacy.http://www.kosinmedj.org/upload/pdf/kmj-28-43.pdfescherichia coliextended spectrum β-lactamaseperitoneal dialysisperitonitis
spellingShingle Seong Kyu Jeong
Yeong Hee Ham
Jin Hyuk Jo
Yeong Sin Sin
Dong Heo
Hark Rim
Extended Spectrum β-lactamase–producing -related Nosocomial Peritonitis Treated Successfully with Meropenem in a Patient on Peritoneal Dialysis
Kosin Medical Journal
escherichia coli
extended spectrum β
-lactamase
peritoneal dialysis
peritonitis
title Extended Spectrum β-lactamase–producing -related Nosocomial Peritonitis Treated Successfully with Meropenem in a Patient on Peritoneal Dialysis
title_full Extended Spectrum β-lactamase–producing -related Nosocomial Peritonitis Treated Successfully with Meropenem in a Patient on Peritoneal Dialysis
title_fullStr Extended Spectrum β-lactamase–producing -related Nosocomial Peritonitis Treated Successfully with Meropenem in a Patient on Peritoneal Dialysis
title_full_unstemmed Extended Spectrum β-lactamase–producing -related Nosocomial Peritonitis Treated Successfully with Meropenem in a Patient on Peritoneal Dialysis
title_short Extended Spectrum β-lactamase–producing -related Nosocomial Peritonitis Treated Successfully with Meropenem in a Patient on Peritoneal Dialysis
title_sort extended spectrum β lactamase producing related nosocomial peritonitis treated successfully with meropenem in a patient on peritoneal dialysis
topic escherichia coli
extended spectrum β
-lactamase
peritoneal dialysis
peritonitis
url http://www.kosinmedj.org/upload/pdf/kmj-28-43.pdf
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