I had a pt taken off pd with catheter removal on September 26th 2019 for pantoea agglomerans and enterococcus fecalis peritonitis after fortaz , vanco and later addition of gentamicin did not clear the infection over 10 days with persistently positive cell counts in pd fluid. I wanted to ask you when I can try pd again and put the catheter back . I wanted to wait 3-4 months but pt is desperate to go back to pd and wants it now

Questions About PD

open
Public
zubair, A, Doctor/MD from tulsa asked
I had a pt taken off pd with catheter removal on September 26th 2019 for pantoea agglomerans and enterococcus fecalis peritonitis after fortaz , vanco and later addition of gentamicin did not clear the infection over 10 days with persistently positive cell counts in pd fluid. I wanted to ask you when I can try pd again and put the catheter back . I wanted to wait 3-4 months but pt is desperate to go back to pd and wants it now

1 answer

TQ for your question
In Malaysia, we usually wait 4-6 weeks to rest the abdomen before resuming back to PD provided there is no interruption of antibiotic course and the source of the infection was identified ( e.g. correction of technique, home circumstances etc.). We will put back the TK and retrain the patient. 

#1

Please login to submit an answer