title: Intraperitoneal meropenem for peritoneal dialysis peritonitis with Serratia marcescens immediately on commencing dialysis.
abstract: A 67-year-old man developed Serratia marcescens peritonitis within a week of commencing peritoneal dialysis. Dialysate cultures isolated multidrug-resistant S. marcescens, which was treated with intraperitoneal meropenem. This unusual case highlights the problem of multidrug-resistant peritoneal dialysis infections and the potential viability of intraperitoneal meropenem as ambulatory peritonitis therapy.
authors.affiliation: Department of Nephrology, The Alfred Hospital, Australia.
authors.forename: P
authors.initials: P
authors.lastname: Bhave
authors.affiliation: Department of Nephrology, The Alfred Hospital, Australia.
authors.forename: P
authors.initials: P
authors.lastname: Tregaskis
authors.affiliation: Department of Nephrology, The Alfred Hospital, Australia; Department of Epidemiological Medicine, Monash University, Australia.
authors.forename: R
authors.initials: R
authors.lastname: Walker
authors.affiliation: Department of Nephrology, The Alfred Hospital, Australia; Renal and Hypertension Laboratory, Baker IDI, Melbourne, Australia.
authors.forename: S
authors.initials: S
authors.lastname: Wilson
keywords: Intraperitoneal meropenem; Serratia marcescens; non-Pseudomonas Gram-negative organisms; peritoneal dialysis; peritonitis