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Scand J Infect Dis Suppl · Jan 1990
Therapy of infections related to intraperitoneal catheters in patients with ovarian cancer.
- F Meunier, P van der Auwera, M Aoun, M Piccart, and J P Sculier.
- Service de Médecine Interne, Institut J. Bordet, Brussels, Belgium.
- Scand J Infect Dis Suppl. 1990 Jan 1; 72: 26-8.
AbstractBacterial peritonitis is a common complication associated with catheters implanted for intraperitoneal anticancer chemotherapy in patients with extensive ovarian carcinoma. During an ongoing trial of intraperitoneal cisplatin-melphalan vs. cisplatin-gamma interferon, given via an intraperitoneal 'Port-a-cath' catheter, 6 episodes of suspected bacterial peritonitis occurred in 5 patients. Clinical symptoms were present in all episodes and 3 episodes were documented microbiologically. Teicoplanin was given intraperitoneally, 400 mg three times a day on the first day and once daily thereafter. Serum and peritoneal concentrations were measured by bioassay. Despite clinical improvement during therapy, the catheter was removed in 4 out of 5 patients after the end of intraperitoneal teicoplanin, due to the presence of infection. Additional patients are required to evaluate the efficacy of intraperitoneal teicoplanin in the treatment of catheter-related peritonitis associated with anticancer intraperitoneal chemotherapy.
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