Antibiotic activity in peritoneal dialysate

Am J Kidney Dis. 1983 Nov;3(3):205-8. doi: 10.1016/s0272-6386(83)80063-8.

Abstract

There are few studies investigating whether antibiotics added to 30% glucose concentrate preserve their activity in the delivered dialysate. Using a Drake-Willock proportioning system, samples were obtained from the "to" patient path at ten minutes after starting and at four hours. Samples were tested for minimal inhibitory dilution (MID) against Escherichia coli and Staphylococcus aureus. Antibiotics evaluated included amikacin, tobramycin, gentamicin, cephalothin, cefamandole, moxalactam, ampicillin, penicillin, carbenicillin, and vancomycin. In all antibiotics studied, similar MIDs were obtained at the ten-minute and four-hour samples. Compared to saline, dialysate significantly impaired the antibiotic activity (a difference of two or more tube dilutions) of all antimicrobial agents except amikacin and vancomycin.

MeSH terms

  • Anti-Bacterial Agents / administration & dosage
  • Anti-Bacterial Agents / antagonists & inhibitors
  • Anti-Bacterial Agents / pharmacology*
  • Drug Interactions
  • Drug Resistance, Microbial
  • Escherichia coli / drug effects
  • Glucose / pharmacology
  • Heparin / pharmacology
  • Humans
  • In Vitro Techniques
  • Peritoneal Dialysis*
  • Peritonitis / drug therapy
  • Sodium Chloride / pharmacology
  • Staphylococcus aureus / drug effects

Substances

  • Anti-Bacterial Agents
  • Sodium Chloride
  • Heparin
  • Glucose