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Dialysis

Dialysis

Renal failure occurs when the kidneys lose their ability to filter waste products from the blood effectively. It can be classified into two types: acute renal failure (ARF) and chronic renal failure (CRF).
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Hemodialysis II: Procedure and Complications

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Hemodialysis III: Nursing Management

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Related Experiment Video

Updated: Jul 21, 2026

A Reference Broth Microdilution Method for Dalbavancin In Vitro Susceptibility Testing of Bacteria that Grow Aerobically

A Reference Broth Microdilution Method for Dalbavancin In Vitro Susceptibility Testing of Bacteria that Grow Aerobically

Published on: September 9, 2015

Indications for vancomycin in dialysis patients.

T A Golper¹, G Schulman, E M D'Agata

¹Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee 37232, USA.

Seminars in Dialysis

|December 29, 2000

Summary

Physicians, especially nephrologists, are not judiciously using vancomycin, leading to increased resistance in dialysis units. Overcoming complacency and practice barriers is crucial for appropriate antibiotic stewardship.

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Last Updated: Jul 21, 2026

A Reference Broth Microdilution Method for Dalbavancin In Vitro Susceptibility Testing of Bacteria that Grow Aerobically

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Area of Science:

Infectious Diseases
Nephrology
Antimicrobial Stewardship

Background:

Emergence of vancomycin resistance in Staphylococcus aureus, coagulase-negative staphylococci (CNS), and enterococci.
High prevalence of vancomycin resistance in dialysis units.
Imperative need for judicious vancomycin use in clinical practice.

Purpose of the Study:

To highlight the critical need for appropriate vancomycin utilization.
To address the challenges in implementing vancomycin guidelines.
To underscore the impact of physician complacency and practice barriers on antimicrobial resistance.

Main Methods:

Review of current clinical practices regarding vancomycin use in dialysis units.
Analysis of factors contributing to the inappropriate use of vancomycin.
Discussion of the implications of physician behavior on antimicrobial resistance patterns.

Main Results:

Physicians, particularly nephrologists, exhibit complacency in switching from vancomycin to alternative antibiotics even when susceptibility data permits.
Cost constraints and bureaucratic factors exacerbate the problem of vancomycin overuse.
Resistance to vancomycin is increasing among pathogens common in dialysis populations.

Conclusions:

Urgent need for enhanced antimicrobial stewardship programs in dialysis settings.
Addressing physician complacency and practice inertia is vital to combat vancomycin resistance.
Revisiting and reinforcing guidelines for vancomycin use is essential to preserve its efficacy.