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Table 10 Antibacterial drugs and administered doses used in the treatment of pediatric PD-related peritonitis (modified from reference [238])

From: Peritoneal Dialysis Guidelines 2019 Part 1 (Position paper of the Japanese Society for Dialysis Therapy)

   

Continuous

Intermittent

Antibiotic type

No residual renal function

Residual renal function

Initial (loading) dose

Maintenance dose

Aminoglycosides (IP)

 Gentamicin

8 mg/L

4 mg/L

0.6 mg/kg

0.75 mg/kg

 Netilmicin

8 mg/L

4 mg/L

0.6 mg/kg

0.75 mg/kg

 Tobramycin

8 mg/L

4 mg/L

0.6 mg/kg

0.75 mg/kg

 Amikacin

25 mg/L

25 mg/L

0.6 mg/kg

0.75 mg/kg

Cephalosporins (IP)

 Cefazolin

500 mg/L

125 mg/L

20 mg/kg

500 mg/L

 Cefepime

500 mg/L

125 mg/L

15 mg/kg

500 mg/L

 Cefotaxime

500 mg/L

250 mg/L

30 mg/kg

500 mg/L

 Ceftazidime

500 mg/L

125 mg/L

20 mg/kg

500 mg/L

Glycopeptides (IP)

 Vancomycin

1000 mg/L

25 mg/L

Initial dose: 30 mg/kg

Afterward, 15 mg/kg every 3–5 days

 Teicoplanin

400 mg/L

20 mg/L

15 mg/kg every 5–7 days

Penicillin’s (IP)

 Ampicillin

No data

125 mg/L

No data

Quinolones (IP)

 Ciprofloxacin

50 mg/L

25 mg/L

No data

Others

 Aztreonam (IP)

1000 mg/L

250 mg/L

No data

 Clindamycin (IP)

300 mg/L

150 mg/L

No data

 Imiprem / cilastin (IP)

250 mg/L

50 mg/L

No data

 Linezolid (PO)

< 5 years: 30 mg/kg/day, divided into three doses

5–11 years: 20 mg/kg/day, divided into two doses

12 years≤: 600 mg/session, twice per day

 Metronidazole (PO)

30 mg/kg/day, divided into three doses (maximum of 1200 mg/day)

 Rifampin (PO)

10–20 mg/kg/day, divided into two doses (maximum of 600 mg/day)

Anti-fungals

 Fluconazole (IP, IV, PO)

6–12 mg/kg/session, every 24–48 h (maximum of 400 mg/day)

 Caspofungin (IV)

Initial dose: 70 mg/m2/day (maximum 70 mg/day)

Afterwards: 50 mg/m2/day (maximum 50 mg/day)

  1. IP intraperitoneally, IV intravenously, PO orally