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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Format: | Article |
Language: | English |
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Kosin University College of Medicine
2013-06-01
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Series: | Kosin Medical Journal |
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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. |
first_indexed | 2024-04-12T17:39:09Z |
format | Article |
id | doaj.art-0256e68b13da43aa9a7b9f04e544ea53 |
institution | Directory Open Access Journal |
issn | 2005-9531 2586-7024 |
language | English |
last_indexed | 2024-04-12T17:39:09Z |
publishDate | 2013-06-01 |
publisher | Kosin University College of Medicine |
record_format | Article |
series | Kosin Medical Journal |
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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