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GRAM-NEGATIVE PERITONITIS—THE ACHILLES HEEL OF PERITONEAL DIALYSIS?

Department of Medicine and Therapeutics, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong SAR, PR China

Correspondence to: C.C. Szeto, Department of Medicine & Therapeutics, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong SAR, PR China. ccszeto{at}cuhk.edu.hk

Peritonitis caused by gram-negative bacteria is a serious complication of peritoneal dialysis. Antibiotic resistance is common, and response to medical treatment is often poor. In the present article, we review recent advances in the understanding of the pathogenesis and treatment of this serious condition.

KEY WORDS: Renal failure; antibiotic resistance; extended-spectrum β-lactamase.

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