Saudi Journal of Medical and Pharmaceutical Sciences (SJMPS)
Volume-8 | Issue-12 | 736-743
Original Research Article
Newer Antibiotics for the Treatment of Peritonitis Caused by Resistance Bacteria in Patients with End Stage Kidney Disease and Using Peritoneal Dialysis
Fahad Laith Aldhafeeri, Nawaf Bunyan AL Anazi, Munir Mukhled AL Mutairi, Munirah Saad AL Mutairi
Published : Dec. 2, 2022
Abstract
End-stage kidney disease (ESKD) is a serious condition that has a significant impact on patients' lives. The most preferred treatment is to get a kidney transplant, or the patient is shifted to dialysis options including haemodialysis (HD) and peritoneal dialysis (PD). Peritoneal dialysis is one of the effective modalities for the treatment of end-stage kidney disease (ESKD), but it was found to be associated with a serious complication called peritoneal dialysis- associated peritonitis (PDAP). The consequences of PDAP have been found to include removal of the catheter, relapse, transfer to haemodialysis, and death. Thus, it is usually treated using the appropriate antibiotic, which is based on the results of the culture. However, most of the conventional antibiotics used for the treatment of PDAP are not currently showing effectiveness, which is due to the growing resistance worldwide among the causative micro-organisms including Gram-positive and Gram-negative bacteria. Therefore, newer antibiotics that can eradicate these high-resistance microorganisms are required. This article reviews the available examples of novel antibiotics that can be used for peritonitis caused by strains that are showing resistance against conventional antibiotics. Examples include antibiotics like oxazolidinone, lipoglycopeptide, glycylcycline, moxifloxacin and cephalosporins.