Do we still recommend antifungal agent in PD patient with AB therapy for UTI or exit site infection?

Questions About PD

Vyacheslav Melnikov, Doctor/MD from Oregon asked
Do we still recommend antifungal agent in PD patient with AB therapy for UTI or exit site infection?

2 answers

Eric Goffin, MD from Brussels, Belgium November 14, 2021

Mainly if the pateint is at risk to develop fungal peritonitis, i.e. patients with diabetes, immunosuppression,… or the very frail patients

#1
MD from United States November 15, 2021

Yes, from the 2016 ISPD Peritonitis Recommendations: “We recommend anti-fungal prophylaxis when PD patients receive antibiotic courses to prevent fungal peritonitis (1B).” This applies to any antibiotic therapy, whether it be for UTI, exit site infection, pneumonia, etc.

#2

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