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Intracatheter amphotericin B retention for fungal peritonitis in continuous ambulatory peritoneal dialysis

Lee, S.H.; Chiang, S.S.; Hseih, S.J.; Shen, H.M.

Journal of the Formosan Medical Association 94(3): 132-134

1995

ISSN/ISBN: 0929-6646
PMID: 7613245
Document Number: 449678
Two patients who developed fungal peritonitis after receiving continuous ambulatory peritoneal dialysis (CAPD) for various periods were successfully treated with intracatheter retention of amphotericin B and oral flucytosine for 5 weeks. The catheter was not removed and efficient peritoneal permeability was maintained. We suggest that intracatheter retention of antifungal agents to sterilize the catheter along with simultaneous oral antifungal agents be used to eradicate peritoneal infection. The catheter may not need to be removed, and CAPD can be accomplished. The period of hospitalization may, thereby, be shortened, and the efficiency of CAPD can be maintained.

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