2016 ISPD 腹膜炎治療指南解讀

ISPD Peritonitis Recommendations: 2016 Update on Treatment

劉穎(Ying Liu) ； 常文秀(Wen Xiu Chang) ； 陳靖博(Jin-Bor Chen)

《腎臟與透析》 29卷2期 (2017/06) Pp. 55-58

https://doi.org/10.6340/KD.2017.29(2).01

摘要

腹膜炎是腹膜透析常見併發症。反覆且嚴重的感染常常導致腹膜結構改變，甚至引發腹膜功能衰竭。對於長程腹透患者來說，腹膜炎仍是腹膜透析技術失敗的壹個主要原因。國際腹膜透析學會2016 年新指南中關於腹膜炎處置部分建議，經驗性抗生素治療應在正確留取了微生物標本後盡早開始，應考慮腹透中心的微生物感染史，且須覆蓋革蘭氏陽性菌和陰性菌。ㄧ旦知道了培養和藥敏結果，應根據情況調整治療方案，並選用窄譜抗生素治療。

關鍵字

腹膜透析 ； 腹膜炎 ； 治療 ； 指南

並列摘要

Peritonitis is a common complication of peritoneal dialysis (PD). Repeated and severe infections often lead to changes in peritoneal structure, and even leading to peritoneal function failure. For long-term PD patients, peritonitis is a major cause of PD technique failure. In the peritonitis recommendations of International Society for Peritoneal Dialysis (ISPD) updated in 2016 are as follows: the empirical antibiotic therapy should be initiated as soon as possible after appropriate microbiological specimens have been obtained, according to the history of microbiological infections in the PD center and covering both gram-positive and gram-negative organisms. Once culture results and sensitivities are known, antibiotic therapy should be adjusted to appropriate narrow-spectrum agents.

並列關鍵字

peritoneal dialysis ； peritonitis ； treatment ； recommendations