Thanks . Had discussed 3 weeks IP with patient earlier and was wondering if that would be adequate

But fluid has cleared up significantly and cell counts down. My next question is how long I need to continue antibiotics for

Gram negative organism unfortunately - garden variety E Coli - non ESBL sensitive to Ceftazidime and most other antibiotics

Patient is slowly improving. Effluent looks clearer after a day of IP Ceftazidime + IP Cefazolin both his night cycle and during the Icodextrin day dwell. Waiting for the counts to confirm improvement

I am hoping I don't have to remove it as my only dialysis access would be a femoral vein (transhepatic is out of the picture due to the peritonitis)

The gastro says this is a common finding on CT scan post polypectomy and that is why clips are used and that since there is no inflammatory reaction it's unlikely to be a full blown perf

Removal would be simple because I inserted the catheter

On fluconazole antifungal - considered an echinocandin at the outset considering the microperf

#AskRenal

Should I remove the tenckhoff and reinsert later or try intraperitoneal antibiotics first?

CT scan shows multiple surgical clips in ascending colon, hepatic flexure and splenic flexure and distal transverse colon. There is extraluminal air surrounding hepatic flexure

Throwback to the #NephMadness percutaneous AVF discussion

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