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Table 2 Recommendations for initial therapy of primary and CAPD-associated peritonitis.

From: Antimicrobial Treatmdent of "Complicated" Intra-Abdominal Infections and The New IDSA Guidelines - A Commentary and an Alternative European Approach According to Clinical Definitions

Diagnosis

Likely organisms

Initial therapy

Level of evidence

Strength of recommenddation

Spontaneous bacterial peritonitis (mostly liver cirrhosis associated)

Escherichia coli

Ceftriaxon

3

A

 

Enterococci

Acylaminop enicillin/BLI

3

A

 

Klebsiella spp.

Ciprofloxacin*

3

A

  

Levofloxacin*

3

B

CAPD - associated peritonitis

S. aureus

Enterococci

Other Streptococci

Escherichia coli

Cephalosporin group 2 with/without Ciprofloxacin*

3

A

 

Enterobacteriaceae

Vancomycin + Gentamicin

3

A

 

Pseudomonas

Acinetobacter

See Table 5

  
 

MRSA, VRE, ESBL

See Table 5

  
 

Candida sp.

See Table 6

  
  1. * = use antibiotic only if local susceptibility rates are ≥ 90%.