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Taurolidine as adjuvant treatment of relapsing peritonitis in peritoneal dialysis patients
Kamila Klimek1, Nuria Aresté Fosalba1, Miguel Ángel Ramírez López1
1Servicio de Nefrología, Hospital Universitario Virgen Macarena, Sevilla, España.
Abstract:
Relapsing peritonitis in peritoneal dialysis patients is one of the complications that jeopardizes the continuity of the technique. It is often associated with the formation of biofilm in the lumen of the catheter. To date, its removal remains the only recommended attitude. Due to its antimicrobial and antifungal properties, taurolidine has been previously used for the sealing of central line catheters and hemodialysis. Despite the good results obtained, there is no evidence available regarding its utility in peritoneal dialysis. This case report describes the use of taurolidine (TauroLock™HEP500) in 5 patients with relapsing peritonitis after antibiotic treatment completion. Mean follow-up for the detection of recurrences was 13.4 months. In 4 patients with infections caused by Staphylococcus epidermidis, eradication was achieved. In the remaining case, caused by Staphylococcus aureus, the taurolidine seal was ineffective and the removal of the catheter was required.
Insights
Taurolidine shows promise in treating relapsing peritonitis in peritoneal dialysis patients by preventing catheter-related infections. While effective against Staphylococcus epidermidis, it was less successful with Staphylococcus aureus, necessitating catheter removal in one case.
Area of Science:
- Nephrology
- Infectious Diseases
- Medical Devices
Background:
- Relapsing peritonitis is a major complication in peritoneal dialysis (PD), often linked to catheter biofilm formation.
- Current management typically involves catheter removal, disrupting PD therapy.
- Taurolidine, known for antimicrobial properties, has been used in other catheter types but not extensively studied in PD.
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