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Question:from indonesia asked on July 19, 2010:I've been working on dialysis center for almost 5 years.I have 100 patients with CAPD.last week I found peritonitis case,and the culture results is staphiloccoccus aereus.my question, what is the propper antibiotic for this case,because we've given cefazolin before but it relaps.thank you Answers:, from (Canada):You would have to follow the sensitivity report from the lab (it may be sensitive to vancomycin?) , from (Canada): You would have to follow the sensitivity report from the lab (it may be sensitive to vancomycin?) L, Dr. from (Hong Kong): Yes, you should follow the sensitivity report. Cefazolin is good for MSSA. An initial gentamicin or aminoglycoside may help the response but once it is cleared, it may not need to be continued. For MRSA, vancoymcin is preferred. Occasionally you may see relapse even with the appropriate antibiotics. In such case, you should check if there is any tunnel infection. Biofilm formation explains many cases of relapse. Removal and replacement of a new catheter simultaneously may be needed. Disclaimer: The answers represent personal views of the experts. The readers should use their own discretion in interpretation and application of the answers and the ISPD does not hold liability for such usage. Previous Question When switching a patient from PD to HD, do you have to start very slow treatment to prevent any dialysis disequilibrium or you just can start full HD treatment?... Next Question is there any recent literature that links constipation to peritonitis? many thanks Past Questions
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