WIll you please provide the ISPD guidelines or protocols for prophylactic antibiotic treatments on PD patients going for colonoscopy and endoscopy procedure.

Questions About PD

Hasmik Mouradian , Nurse from United States asked
WIll you please provide the ISPD guidelines or protocols for prophylactic antibiotic treatments on PD patients going for colonoscopy and endoscopy procedure.

1 answer

Nurse Canada with members of the ISPD Nursing Committee June 20, 2024

We thank you for your question. The information below is taken from the latest (2022) ISPD Peritonitis Guideline Recommendations:
“Invasive gastrointestinal and gynaecological procedures
We suggest antibiotic prophylaxis prior to colonoscopy and invasive gynaecological procedure.
We suggest drainage of PD fluid to keep the abdomen empty before endoscopic gastrointestinal and invasive or instrumental gynaecological procedures.
Because of limited data, there is no standardised recommendation of antibiotic choice and administration route. However, reasonable regimens should cover gram-positive and gram-negative (aerobic and anaerobic) bacterial isolates from the upper tract of female reproductive tracts. Examples include intravenous cefazolin or ceftriaxone before the procedure or oral cefadroxil 500 mgonce daily for 3 days. (1, page 116).”
 
1.Li PK, Chow KM, Cho Y, Fan S, Figueiredo AE, Harris T, Kanjanabuch T, Kim YL, Madero M, Malyszko J, Mehrotra R. ISPD peritonitis guideline recommendations: 2022 update on prevention and treatment. Peritoneal dialysis international. 2022 Mar;42(2):110-53. Available  at: https://journals.sagepub.com/doi/pdf/10.1177/08968608221080586

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