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Intraperitoneal Meropenem for Polymicrobial Peritoneal Dialysis-Related Peritonitis. | LitMetric

Intraperitoneal Meropenem for Polymicrobial Peritoneal Dialysis-Related Peritonitis.

Perit Dial Int

Pharmacy, Onze Lieve Vrouwe Gasthuis, Amsterdam, Netherlands.

Published: December 2017

AI Article Synopsis

  • The rise in multiresistant gram-negative bacteria has led to increased use of carbapenems, but there is limited data on meropenem's pharmacokinetics in patients undergoing peritoneal dialysis (PD).
  • Researchers studied the effects of repeated intraperitoneal administration of meropenem for 21 days in treating polymicrobial multiresistant PD-related peritonitis.
  • Findings suggest that a daily dose of 125 mg/L meropenem is both effective and safe, with no signs of drug overdosing or underdosing observed during the treatment period.

Article Abstract

With the current rise in multiresistant gram-negative bacteria, carbapenems are more frequently used. Surprisingly, limited data exist on the pharmacokinetics of meropenem in peritoneal dialysis (PD)-related peritonitis. We report on the pharmacokinetics of repeated intraperitoneal (IP) meropenem during 21 days as treatment for polymicrobial multiresistent PD-related peritonitis.Our current report supports daily doses of 125 mg/L intraperitoneal meropenem in all bags as an effective and safe modality in the treatment of PD-associated peritonitis with multiresistant microorganisms. No signs of over- or underdosing were found based on serial drug concentration measurements at fixed time points up to 21 days.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5033637PMC
http://dx.doi.org/10.3747/pdi.2016.00023DOI Listing

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