Antibiotic administration via indwelling peritoneal catheter to treat infected malignant ascites
Abstract Indwelling pleural catheter is an established management for malignant pleural effusions. Extending its use to patients with malignant ascites by insertion of a catheter intraperitoneally enables regular outpatient drainage and improves quality‐of‐life. However, indwelling pleural/peritonea...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2022-11-01
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| Series: | Respirology Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/rcr2.1055 |
| _version_ | 1828142469828575232 |
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| author | Thisuri Jayawardena Sona Vekaria Sophie Krivinskas Calvinjit Sidhu Aron Chakera Y. C. Gary Lee |
| author_facet | Thisuri Jayawardena Sona Vekaria Sophie Krivinskas Calvinjit Sidhu Aron Chakera Y. C. Gary Lee |
| author_sort | Thisuri Jayawardena |
| collection | DOAJ |
| description | Abstract Indwelling pleural catheter is an established management for malignant pleural effusions. Extending its use to patients with malignant ascites by insertion of a catheter intraperitoneally enables regular outpatient drainage and improves quality‐of‐life. However, indwelling pleural/peritoneal catheter (IPC/IPeC) is associated with catheter‐related infections, traditionally managed with systemic antibiotics and occasionally requires catheter removal. Direct administration of antibiotics intra‐abdominally via peritoneal dialysis (PD) catheters is a well‐established, efficacious practice in PD‐related peritonitis and minimizes systemic adverse effects. We applied the same principles to a patient with peritoneal mesothelioma who developed peritonitis 3 weeks after insertion of IPeC. Intraperitoneal vancomycin was administered via, and compatible with, the IPeC. The patient tolerated the treatment without adverse effects and made a full recovery without requiring catheter removal. |
| first_indexed | 2024-04-11T19:41:37Z |
| format | Article |
| id | doaj.art-507eac2cac2744adbd3b2d6276d9df31 |
| institution | Directory Open Access Journal |
| issn | 2051-3380 |
| language | English |
| last_indexed | 2024-04-11T19:41:37Z |
| publishDate | 2022-11-01 |
| publisher | Wiley |
| record_format | Article |
| series | Respirology Case Reports |
| spelling | doaj.art-507eac2cac2744adbd3b2d6276d9df312022-12-22T04:06:42ZengWileyRespirology Case Reports2051-33802022-11-011011n/an/a10.1002/rcr2.1055Antibiotic administration via indwelling peritoneal catheter to treat infected malignant ascitesThisuri Jayawardena0Sona Vekaria1Sophie Krivinskas2Calvinjit Sidhu3Aron Chakera4Y. C. Gary Lee5Department of Respiratory Medicine Sir Charles Gairdner Hospital Perth Western Australia AustraliaDepartment of Respiratory Medicine Sir Charles Gairdner Hospital Perth Western Australia AustraliaDepartment of Respiratory Medicine Sir Charles Gairdner Hospital Perth Western Australia AustraliaDepartment of Respiratory Medicine Sir Charles Gairdner Hospital Perth Western Australia AustraliaDepartment of Renal Medicine Sir Charles Gairdner Hospital Perth Western Australia AustraliaDepartment of Respiratory Medicine Sir Charles Gairdner Hospital Perth Western Australia AustraliaAbstract Indwelling pleural catheter is an established management for malignant pleural effusions. Extending its use to patients with malignant ascites by insertion of a catheter intraperitoneally enables regular outpatient drainage and improves quality‐of‐life. However, indwelling pleural/peritoneal catheter (IPC/IPeC) is associated with catheter‐related infections, traditionally managed with systemic antibiotics and occasionally requires catheter removal. Direct administration of antibiotics intra‐abdominally via peritoneal dialysis (PD) catheters is a well‐established, efficacious practice in PD‐related peritonitis and minimizes systemic adverse effects. We applied the same principles to a patient with peritoneal mesothelioma who developed peritonitis 3 weeks after insertion of IPeC. Intraperitoneal vancomycin was administered via, and compatible with, the IPeC. The patient tolerated the treatment without adverse effects and made a full recovery without requiring catheter removal.https://doi.org/10.1002/rcr2.1055indwelling peritoneal catheterindwelling pleural cathetermalignant ascitesperitonitispleural effusion |
| spellingShingle | Thisuri Jayawardena Sona Vekaria Sophie Krivinskas Calvinjit Sidhu Aron Chakera Y. C. Gary Lee Antibiotic administration via indwelling peritoneal catheter to treat infected malignant ascites Respirology Case Reports indwelling peritoneal catheter indwelling pleural catheter malignant ascites peritonitis pleural effusion |
| title | Antibiotic administration via indwelling peritoneal catheter to treat infected malignant ascites |
| title_full | Antibiotic administration via indwelling peritoneal catheter to treat infected malignant ascites |
| title_fullStr | Antibiotic administration via indwelling peritoneal catheter to treat infected malignant ascites |
| title_full_unstemmed | Antibiotic administration via indwelling peritoneal catheter to treat infected malignant ascites |
| title_short | Antibiotic administration via indwelling peritoneal catheter to treat infected malignant ascites |
| title_sort | antibiotic administration via indwelling peritoneal catheter to treat infected malignant ascites |
| topic | indwelling peritoneal catheter indwelling pleural catheter malignant ascites peritonitis pleural effusion |
| url | https://doi.org/10.1002/rcr2.1055 |
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