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Table 6 Recommended intraperitoneal anti-microbial agent dose for peritonitis treatment

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

 

Intermittent (once per day)

Continuous (for each exchange)

Aminoglycoside

 Amikacin

2 mg/kg/day

LD 25 mg/L, MD 12 mg/L

 Gentamicin

0.6 mg/kg/day

 

 Tobramycin

0.6 mg/kg/day

 

Cephalosporin

 Cefazolin

15–20 mg/kg/day

LD 500 mg/L, MD 125 mg/L

 Cefepime

1000 mg/day

LD 250–500 mg/L, MD 100–125 mg/L

 Cefoperazone

No data

LD 500 mg/L, MD 62.5–125 mg/L

 Cefotaxime

500–1000 mg/day

No data

 Ceftazidime

1000–1500 mg/day

LD 500 mg/L, MD 125 mg/L

 Ceftriaxone

1000 mg/day

No data

Penicillin

 Penicillin G

No data

LD 50,000 unit/L, MD 25,000 unit/L

 Amoxicillin

No data

MD 150 mg/L

 Ampicillin

No data

MD 125 mg/L

 Ampicillin / Sulbactam

2 g / 1 g every 12 h

LD 750–1000 mg/L, MD 100 mg/L

 Piperacillin / Tazobactam

No data

LD 4 g / 0.5 g, MD 1 g / 0.125 g

Other

 Aztreonam

2 g/day

LD 1000 mg/L, MD 250 mg/L

 Ciprofloxacin

No data

MD 50 mg/L

 Clindamycin

No data

MD 600 mg/bag

 Daptomycin

No data

LD 100 mg/L, MD 20 mg/L

 Imipenem / Cilastin

 

LD 250 mg/L, MD 50 mg/L

 Ofloxacin

No data

LD 200 mg/L, MD 25 mg/L

 Polymyxin B

No data

MD 300,000 units (30 mg)/bag

 Quinupristin / Dalfopristin

25 mg/L per bag exchange a

No data

 Meropenem

1 g/day

No data

 Teicoplanin

15 mg/kg every 5 days

LD 400 mg/bag, MD 20 mg/bag

 Vancomycin

15–30 mg/kg every 5–7 days b

LD 30 mg/kg/bag, MD 1.5 mg/kg/bag

Anti-fungal agents

 Fluconazole

200 mg IP every 24–48 h

No data

 Voriconazole

2.5 mg/kg/day IP

No data

  1. LD initial (load) dose; MD maintenance dose; IP intraperitoneal; APD automatic peritoneal dialysis
  2. aImplemented in combination with a 500 mg intravenous injection twice per day
  3. bSupplemental dose may be necessary for APD patients
  4. Revised from Reference [395]