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ID 37800
本文ファイル
著者
Yorioka, Noriaki
Taniguchi, Yoshihiko
Ito, Takafumi
Katsutani, Masahira
Amimoto, Dai
Nishida, Yoji
Kushihata, Shigeyuki
Oda, Hiroaki
Yamakido, Michio
キーワード
Continuous ambulatory peritoneal dialysis
Dialysis-related peritonitis
Vancomycin
NDC
医学
抄録(英)
Vancomycin therapy is frequently used for peritonitis in patients on peritoneal dialysis, but the emergence of resistance has been reported. We evaluated the efficacy of a single intraperitoneal dose of vancomycin for peritonitis in peritoneal dialysis patients. We assessed 24 episodes of peritonitis in 16 patients, and compared clinical parameters between responders and nonresponders. Vancomycin was effective for 12 patients (18 out of 24 episodes, 75.0%). Nonresponders had a significantly higher initial C-reactive protein level and dialysis fluid leukocyte count, and the mean serum albumin over three months before onset was significantly lower than in responders. Patients with a serum albumin level 3.0 g/dl or more were significantly more likely to respond than those with a level less than 3.0 g/dl. In conclusion, it seems reasonable for peritonitis patients with a mild inflammatory response and a serum albumin 3.0 g/dl or more to receive intraperitoneal vancomycin on an outpatient basis.
掲載誌名
Hiroshima Journal of Medical Sciences
47巻
3号
開始ページ
105
終了ページ
107
出版年月日
1998-09
出版者
Hiroshima University Medical Press
ISSN
0018-2052
NCID
言語
英語
NII資源タイプ
紀要論文
広大資料タイプ
学内刊行物(紀要等)
DCMIタイプ
text
フォーマット
application/pdf
著者版フラグ
publisher
部局名
医歯薬学総合研究科
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