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Perit Dial Int 1(3): 14-17
1980
© 1980 International Society for Peritoneal Dialysis
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REVIEW AND ORIGINAL ARTICLES

THE TREATMENT OF PERITONITIS IN PATIENTS ON CAPO: TO LAVAGE OR NOT?

P. Williams, R. Khanna, S. Vas, S. Layne, D. Pantalony and D.G. Oreopoulos

From the Departments of Medicine, Clinical Bacteriology and Hematology, Toronto Western Hospital.

Twenty-four patients on continuous ambulatory peritoneal dialysis (CAPD) who developed peritonitis were treated either by lavage with intraperitoneal (IP) antibiotics (12) or by brief lavage without antibiotics followed by CAPD with IP antibiotics (12). The outcome of treatment was satisfactory in all, but the patients treated by CAPD achieved faster bacteriological resolution, spent less time in hospital and had less morbidity than those treated by prolonged lavage. We conclude that the treatment of peritonitis by CAPD with IP antibiotics is preferable to prolonged lavage with IP antibiotics.






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