Kiernan-Troidle L, Gorban-Brennan N, Kliger AS, Finkelstein
FO
Vancomycin-resistant enterococcal peritonitis
XVIth Annual CAPD Conference
Perit Dial Int Suppl 2
(Feb) 16:S41 1996
This abstract describes cases of peritonitis due to vancomycin resistant
Enterococci (VRE).
Six cases were observed over a 2-year period. Five of 6 patients were
diabetic, and patients were
on PD for an average of 35 months, All had exposure to vancomycin in the
preceeding 6 months. The
outcome: 4 out of 6 patients died within 6 weeks of the peritonitis episode.
In 2 patients the infection was eradicated with alternative antibiotics.
Comment: This work underlines the seriousness of vancomycin
resistance, especially in
debilitated patients. New recommendations for peritonitis treatment by the
Ad Hoc Advisory
Committee for Treatment of Peritonitis are being developed in an effort
to reduce vancomycin use
in renal patients. Strict epidemiological measures must be enforced when
vancomycin resistance
appears in a renal unit.
(Stephen I. Vas, M.D.)
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XVIth Annual CAPD Conference
Basic peritoneal dialysis :
Peritonitis and exit-site infection