Peritonitis following endoscopic polypectomy in a peritoneal dialysis patient: The need for antibiotic prophylaxis

Polymicrobial Peritonitis Following Colonoscopic Polypectomy in a Peritoneal Dialysis Patient

“…Intra-abdominal pathology occurs most commonly from bowel leak and often following endoscopic procedures. Few case reports on CAPD peritonitis after colonoscopy with or without polypectomy can be found in the literature (2)(3)(4)(5)(6). Currently, the International Society for Peritoneal Dialysis (ISPD) guidelines recommended intravenous administration of antibiotics and emptying the peritoneal dialysate before colonoscopy as preventive measures (7).…”

CDC Group EO-4 and Candida tropicalis Peritonitis in a Patient on Peritoneal Dialysis after Upper Endoscopy, Colonoscopy and Coil Embolization of the Gastroduodenal Artery

“…Peritonitis may arise from transmural migration of bacteria from the bowel to the peritoneal cavity after manipulation of the gastrointestinal tract [2]. Several reports have described the development of peritonitis in PD patients who underwent GI endoscopy without prophylaxis [3, 4, 5, 6], and a retrospective study found that the risk of peritonitis after colonoscopy without antibiotic prophylaxis was 6.3% [7]. Peritoneal fluid in these patients has yielded gram-positive and gram-negative organisms [2, 8].…”

Prevention of Late PJI

“…Thus antibiotic prophylaxis may be administered to high‐risk patients undergoing GI procedures or peritoneal dialysis . In addition, high‐risk cardiac patients, such as those who have artificial heart valves, acquired valvular dysfunction, vascular grafts, surgical pulmonary shunts, complex congenital cardiac disease, and a history of endocarditis, have a higher likelihood for developing endocarditis and may benefit from antibiotic prophylaxis prior to GI procedures .…”