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Candida peritonitis

Up Candida laryngitis Candida peritonitis Candida pneumonia Candiduria in critically ill Prophylaxis

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2 major syndromes

  • Peritonitis associated with chronic ambulatory peritoneal dialysis (CAPD)
  • Peritonitis associated with bowel perforation

Other risk factors:

  • chemotherapy for malignancy
  • immunosuppression for transplantation
  • inflammatory disease

Treatment

  • CAPD peritonitis
    • remove peritoneal catheter
    • systemic amphotericin B or fluconazole
    • catheter should not be replaced in under 2 weeks
  • Faecal peritonitis
    • surgical repair and drainage
    • amphotericin B or fluconazole for 2-3 weeks

Prophylaxis

Fluconazole 400 mg/day may be indicated in surgical patients with recurrent GI perforation

Further reading

Pappas PG. Guidelines for treatment of candidiasis. Clin Infect Dis 2004; 38:161-89

 

 

©Charles Gomersall, October, 2009 unless otherwise stated. The author, editor and The Chinese University of Hong Kong take no responsibility for any adverse event resulting from the use of this webpage.
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