Peritonitis following Endoscopy in a Patient on Peritoneal Dialysis with a Discussion of Current Recommendations on Antibiotic Prophylaxis
نویسندگان
چکیده
Patients on peritoneal dialysis (PD) are at increased risk for peritonitis. We report a case of a patient with end-stage renal disease on continuous ambulatory PD (CAPD) who developed peritonitis within 24 h of upper endoscopy with biopsy and colonoscopy with polypectomy. He had a previous history of peritonitis unrelated to invasive procedures and eventually was transitioned to hemodialysis because of his recurrent peritonitis. The International Society for Peritoneal Dialysis (ISPD) and newly revised American Society for Gastrointestinal Endoscopy (ASGE) guidelines recommend prophylactic antibiotics for CAPD patients undergoing endoscopic procedures. Other guidelines do not address this issue, and there has been limited evidence to support recommendations.
منابع مشابه
Peritonitis following colonoscopy in a peritoneal dialysis patient.
A 65-year-old woman on continuous ambulatory peritoneal dialysis (CAPD) developed blood-tinged dialysate and bacterial peritonitis following a colonoscopic polypectomy. She grew multiple anaerobic organisms in her dialysate despite antibiotic prophylaxis with vancomycin and gentamicin prior to the procedure. This case confirms the need for broad spectrum antibiotic prophylaxis prior to colonosc...
متن کاملBacterial Peritonitis Following Esophagogastroduodenoscopy in a Patient on Peritoneal Dialysis
Aims: To recognize the importance of considering perforation of viscus in the differential of peritonitis after upper gastrointestinal endoscopy in peritoneal dialysis patients and to address the potential benefit of antibiotic prophylaxis in PD patients undergoing upper GI procedures. Presentation of Case: We report the case of a 54-year-old African American female with end-stage renal disease...
متن کاملCDC Group EO-4 and Candida tropicalis Peritonitis in a Patient on Peritoneal Dialysis after Upper Endoscopy, Colonoscopy and Coil Embolization of the Gastroduodenal Artery
Peritoneal dialysis (PD) is an excellent form of renal replacement therapy for many patients with end-stage renal disease (ESRD). Over 10,000 patients receive PD in the United States [United States Renal Data System: 2015 USRDS Annual Data Report: Epidemiology of Kidney Disease in the United States, 2015]. PD has superior outcomes compared to hemodialysis in the first 2 years of ESRD [Sinnakiro...
متن کاملProphylactic Antibiotics for Endoscopy-Associated Peritonitis in Peritoneal Dialysis Patients
INTRODUCTION Continuous ambulatory peritoneal dialysis (CAPD) peritonitis may develop after endoscopic procedures, and the benefit of prophylactic antibiotics is unclear. In the present study, we investigated whether prophylactic antibiotics reduce the incidence of peritonitis in these patients. PATIENTS AND METHODS We retrospectively reviewed all endoscopic procedures, including esophagogast...
متن کاملPeritonitis following endoscopic polypectomy in a peritoneal dialysis patient: the need for antibiotic prophylaxis.
Colonoscopy performed by an experienced endoscopist is a remarkably safe procedure. The incidence of perforation of the colon as a result of colonoscopy has been estimated to be between 0.1-0.8% for diagnostic examinations and 0.5-3% for therapeutic procedures [1]. We report a patient, treated with peritoneal dialysis because of end-stage renal failure, who developed peritonitis following intes...
متن کامل