Successful Use of Combined Intraperitoneal Azlocillin and Aminogl Ycoside in the Treatment of Dialysis Associated Pseudomonas Peritonitis
Author(s) -
Leung Anthony C.T.,
Orange Gillian,
Henderson Lain S.,
Sleigh J. Douglas
Publication year - 1984
Publication title -
peritoneal dialysis international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.79
H-Index - 83
eISSN - 1718-4304
pISSN - 0896-8608
DOI - 10.1177/089686088400400212
Subject(s) - azlocillin , peritonitis , medicine , peritoneal dialysis , aminoglycoside , antibiotics , nephrotoxicity , antimicrobial , pseudomonas , microbiology and biotechnology , pseudomonas aeruginosa , toxicity , piperacillin , bacteria , biology , genetics
Pseudomonas peritonitis associated with peritoneal dialysis is usually severe and difficult to treat. Prolonged courses of aminoglycoside antibiotics carry the risk of ototoxicity and nephrotoxicity. Azlocillin, a new acylureidopenicillin with potent antipseudomonal activity, was used successfully in combination with an aminoglycoside in the treatment of two patients with dialysis -associated pseudomonas peritonitis. Serum and peritoneal fluid antibiotic levels were monitored and a marked synergistic effect was observed with this antimicrobial combination. Azlocillin may have a useful aminoglycosidesparing effect in the treatment of pseudomonas peritonitis.
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