Stability and compatibility of intraperitoneal antimicrobials in peritoneal dialysate solutions

Perit Dial Int. 2023 Nov;43(6):431-441. doi: 10.1177/08968608231196034. Epub 2023 Sep 20.

Abstract

To optimise antimicrobial administration in patients with peritoneal dialysis (PD)-related peritonitis, healthcare providers need literature-based information to develop patient-centred pharmacotherapeutic plans. Traditional PD solutions promote osmosis using dextrose or icodextrin with a lactate buffer. Newer PD solutions have modified the osmotic vehicle and buffer. Knowledge of antimicrobial compatibility and stability with newer PD solutions will assist with determining the route of antimicrobial administration as compatible and stable solutions could be delivered directly to the peritoneum using intraperitoneal administration. This review updates the compatibility and stability of antimicrobial additives in newer PD solutions for PD-related peritonitis.

Keywords: Antimicrobials; compatibility; dialysate; intraperitoneal; peritoneal dialysis solutions; peritonitis; stability.

Publication types

  • Review

MeSH terms

  • Anti-Infective Agents* / therapeutic use
  • Dialysis Solutions / therapeutic use
  • Glucose / therapeutic use
  • Humans
  • Lactic Acid
  • Peritoneal Dialysis*
  • Peritonitis* / drug therapy
  • Peritonitis* / etiology

Substances

  • Dialysis Solutions
  • Anti-Infective Agents
  • Lactic Acid
  • Glucose